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DR. MICHAEL L RANDALL DO
NPI 1639196108
Family Medicine in Centereach, NY

Active since July 17, 2006
2539 MIDDLE COUNTRY ROAD, CENTEREACH, NY 11720(631) 580-1740(631) 580-9155 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael L Randall Do NPPES

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

DR. MICHAEL L RANDALL DO (NPI 1639196108) is an individual family medicine provider in Centereach, New York, licensed in New York (200458) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1639196108
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL L RANDALLCredential: DO
Location Address2539 MIDDLE COUNTRY ROADCentereach, NY 11720
Mailing Address2539 Middle Country RoadCentereach, NY 11720 · (631) 580-1740 · Fax (631) 580-9155
Phone(631) 580-1740
Fax(631) 580-9155
Sole ProprietorYes
Enumeration DateJuly 17, 2006
Last NPPES UpdateSeptember 27, 2011
✔ NPI 1639196108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 200458
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2539 MIDDLE COUNTRY ROAD, Centereach, NY 11720
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Other Identifiers 3

Medicare PIN6902239101NY
Medicare PIN690223NY
Medicare UPING67513

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 Michael Randall's NPI number?

The NPI number for Michael Randall is 1639196108. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Michael Randall located?

Michael Randall practices at 2539 Middle Country Road, Centereach, NY 11720. The listed phone number is (631) 580-1740.

What is Michael Randall's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Michael Randall was last updated on September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.