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DR. JOHN RANDAZZO JR. DPM
NPI 1962922047
Podiatrist - Foot & Ankle Surgery in East Patchogue, NY

Active since June 21, 2017PECOS Enrolled
285 SILLS RD STE D, EAST PATCHOGUE, NY 11772(631) 654-5566 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 16, 2020, Jun 29, 2020, Jun 21, 2017 (3 updates tracked since 2017).

About Dr. John Randazzo Jr. Dpm NPPES

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

DR. JOHN RANDAZZO JR. DPM (NPI 1962922047) is an individual foot & ankle surgery provider in East Patchogue, New York, licensed in New York (N007109) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962922047
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JOHN RANDAZZO JR.Credential: DPM
Location Address285 SILLS RD STE DEast Patchogue, NY 11772-4869
Mailing Address285 Sills Rd Ste DEast Patchogue, NY 11772-4869 · (631) 604-4948
Phone(631) 654-5566
Sole ProprietorYes
Enumeration DateJune 21, 2017
Last NPPES UpdateJuly 16, 20203 updates tracked since enumeration
NPPES CertifiedJuly 16, 2020
✔ NPI 1962922047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NY · N007109
285 SILLS RD STE D, East Patchogue, NY 11772
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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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Randazzo Jr. Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers22 claims22 services$226.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLYSE DAMIANO PA
Physician Assistant
285 SILLS RD STE D
EAST PATCHOGUE, NY 11772
Suffolk County (631) 438-0777
MRS. CHRISTEN BOTROS PA-C
Physician Assistant
285 SILLS RD STE D
EAST PATCHOGUE, NY 11772
Suffolk County (631) 438-0777
DR. BORIS E. ROSENFELD DO
Family Medicine
285 SILLS RD STE D
EAST PATCHOGUE, NY 11772
Suffolk County (631) 438-0777

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 John Randazzo's NPI number?

The NPI number for John Randazzo is 1962922047. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Where is John Randazzo located?

John Randazzo practices at 285 Sills Rd Ste D, East Patchogue, NY 11772. The listed phone number is (631) 654-5566.

What is John Randazzo's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is John Randazzo enrolled in Medicare?

Yes. John Randazzo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Randazzo was last updated on July 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.