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RANDY D MAKOVSKY MD PC
NPI 1396958617
Urology in Great Neck, NY

Active since May 07, 2007CLIA 33D1005740 · Certificate of Compliance
475 NORTHERN BLVD, STE 26, GREAT NECK, NY 11021(516) 482-3530(516) 829-2654 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Randy D Makovsky Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDY D MAKOVSKY MD PC (NPI 1396958617) is a healthcare organization registered as an urology in Great Neck, New York and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through July 5, 2027 and lists Randy David Makovsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1396958617
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameRANDY D MAKOVSKY MD PC
Location Address475 NORTHERN BLVD, STE 26Great Neck, NY 11021-4802
Mailing Address475 Northern Blvd, Ste 26Great Neck, NY 11021-4802 · (516) 482-3530 · Fax (516) 829-2654
Phone(516) 482-3530
Fax(516) 829-2654
Organization SubpartNo
Authorized OfficialRandy David MakovskyOwner · (516) 482-3530
Enumeration DateMay 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1396958617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NY · 120852
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
475 NORTHERN BLVD, Great Neck, NY 11021
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randy D Makovsky Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Randy D Makovsky MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Randy Makovsky, MD
Urology
NPI 1801861323
475 NORTHERN BLVD SUITE #26
Great Neck, NY 11021
(516) 482-3530
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D1005740

Randy D Makovsky MD PC · Lake Success, NY
Active · expires Jul 5, 2027
CLIA Number33D1005740
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorDr. Libo Qiu
Laboratory Phone(516) 482-3530
Laboratory LocationRandy D Makovsky MD PC2001 Marcus Avenue, Suite E 110, Lake Success, NY 11042
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy D Makovsky MD PC's NPI number?

The NPI number for Randy D Makovsky MD PC is 1396958617. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Randy D Makovsky MD PC located?

Randy D Makovsky MD PC is located at 475 Northern Blvd Ste 26, Great Neck, NY 11021. The listed phone number is (516) 482-3530.

What is Randy D Makovsky MD PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Randy D Makovsky MD PC enrolled in Medicare?

Yes. Randy D Makovsky MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Randy D Makovsky MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Randy D Makovsky MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Randy D Makovsky MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D1005740) is associated with this NPI, valid through July 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Randy D Makovsky MD PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.