JENORA RANDOLPH P.A.
NPI 1962642769
Physician Assistant in New York, NY
About Jenora Randolph P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENORA RANDOLPH P.A. (NPI 1962642769) is an individual physician assistant in New York, New York, licensed in New York (012883) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jenora Randolph P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Charles Hospital
Acute Care Hospitals · Port Jefferson, NYSt Catherine Of Siena Hospital Medical Center
Acute Care Hospitals · Smithtown, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10037
NEW YORK, NY 10037
NEW YORK, NY 10037
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 Jenora Randolph's NPI number?
The NPI number for Jenora Randolph is 1962642769. It was assigned to this individual provider in the NPPES registry on March 6, 2009.
Where is Jenora Randolph located?
Jenora Randolph practices at 506 Malcolm X Blvd, New York, NY 10037. The listed phone number is (212) 939-1000.
What is Jenora Randolph's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Jenora Randolph enrolled in Medicare?
Yes. Jenora Randolph is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Jenora Randolph affiliated with any hospitals?
According to CMS data, Jenora Randolph is affiliated with St Charles Hospital and St Catherine Of Siena Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Jenora Randolph was last updated on March 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Jenora Randolph, P.A. · NPI 1962642769
Physician Assistant physician in New York, New York. Individual provider, active in the CMS NPPES registry since March 6, 2009.
## Identity
- **NPI:** 1962642769 (Entity type: Individual)
- **Enumerated:** March 6, 2009
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 012883 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 506 MALCOLM X BLVD, New York, NY 10037-1802
- **Phone:** (212) 939-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** March 6, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1962642769) · Data from the CMS NPPES public registry.