DR. CHRISTOPHER STEPHENS RANDOLPH (NPI# 1629139654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629139654 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER STEPHENS RANDOLPH |
| Credential | M.D. |
| Practice Address |
164 W 74th St New York NY 10023-2301 |
| Mailing Address |
1 Alameda Pl Mount Vernon NY 10552-1201 |
| Practice Telephone | 7187268484 |
| Mailing Telephone | 9145136350 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2014-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 189107 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03158303 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635303 | Christopher Aaron Randolph | Psychologist | 3827 Route 100, Pittsfield, VT 05762 | 2020-10-02 |
| 1649456492 | Christopher Eugene Randolph | Contractor | 1317 Hales Ford Rd, Moneta, VA 24121-5989 | 2008-01-10 |
| 1447230529 | Christopher Randolph | Clinical Neuropsychologist | 211 W Chicago Ave, Ste 211, Hinsdale, IL 60521-3355 | 2006-01-17 |
| 1437142551 | Christopher Cronin Randolph | Allergy & Immunology | 1389 W Main St, Suite 205, Waterbury, CT 06708-3104 | 2005-08-24 |
| 1578047643 | Christopher Alan Randolph | Naturopath | 3025 Sw Corbett Ave, Portland, OR 97201-4858 | 2018-09-24 |
| 1669455606 | Christopher Scott Randolph | Psychiatry & Neurology | 901 Leighton Ave, Suite 303, Anniston, AL 36207-5700 | 2005-11-23 |
| Street Address |
164 W 74TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10023-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134297153 | Phoenix Houses of New York, Inc. | Substance Abuse Rehabilitation Facility | 164 W 74th St, New York, NY 10023-2301 | 2006-11-30 |
| 1700291523 | Emily Miranda Patulski | Social Worker | 164 W 74th St, New York, NY 10023-2301 | 2014-07-01 |
| 1013255769 | Phoenix House Foundation | Clinic/Center | 164 W 74th St, New York, NY 10023-2301 | 2013-01-30 |
| 1972837763 | Ashley Baglieri | Social Worker | 164 W 74th St, New York, NY 10023-2301 | 2009-09-25 |
| 1023261328 | Tessa A Vining | Social Worker | 164 W 74th St, New York, NY 10023-2301 | 2008-10-30 |
| 1679729206 | Jessica Ann Knoll | Counselor | 164 W 74th St, 3rd Floor, New York, NY 10023-2301 | 2008-08-14 |
| 1952502486 | Mitchell S. Rosenthal | Psychiatry & Neurology | 164 W 74th St, New York, NY 10023-2301 | 2007-05-31 |
| 1245391911 | Bette B Lyons | Registered Nurse | 164 W 74th St, New York, NY 10023-2301 | 2006-12-13 |
| 1275694507 | Barbara S. Goldberg | Registered Nurse | 164 W 74th St, New York, NY 10023-2301 | 2006-12-12 |
| 1639247653 | Phoenix House Foundation, Inc. | Clinic/Center | 164 W 74th St, New York, NY 10023-2301 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353215 | Marian Lisa Stern | Psychologist | 6 West 74th Street, Ny, NY 10023 | 2020-07-16 |
| 1720605652 | Elizabeth Bentley | Social Worker | Institute of Contemporary Psychotherapy, 33 W 60th St. 4th Floor New York, New York, NY 10023 | 2020-06-26 |
| 1164058236 | Dawn Fitzgerald | Registered Nurse | 315 West 70th Street, Suite 1b, New York, NY 10023 | 2020-03-20 |
| 1841849817 | David Charles Tannenbaum | Social Worker | 10 West 74th 1b, Nyc, NY 10023 | 2019-09-11 |
| 1447811211 | United Social Services of The Society for Ethical Culture, Inc. | Community/Behavioral Health | 2 West 64th St., Room 505, New York, NY 10023 | 2019-06-24 |
| 1043875198 | Linda M Stolarz | Social Worker | 140 W 71st, Apt 3 E, New York, NY 10023 | 2019-05-03 |
| 1336609825 | Laurie Faye Schwartz | Counselor | 20 W 64 St, Apt 21a, New York, NY 10023 | 2019-03-21 |
| 1891252706 | Marcia Hochman | Social Worker | The Hallowell Center, 117 West 72nd St. 3rd Floor, Ny, NY 10023 | 2019-02-27 |
| 1629545843 | Roni-sue Allen | Marriage & Family Therapist | 1841 Broadway Suite 325, New York, NY 10023 | 2018-10-25 |
| 1346757291 | Jang Sook Min | Acupuncturist | 134 W 72nd St, New York, NY 10023 | 2018-01-01 |
| Find all providers in zip 10023 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1699376491 | Unico Ipa LLC | Internal Medicine | 202 Canal St # 500, New York, NY 10013-4517 | 2020-11-06 |
| 1295341535 | Reside Health Medical Group, Pllc | Internal Medicine | 520 Broadway Fl 4, New York, NY 10012-4436 | 2020-09-22 |
| 1295348019 | Vault Medical Group Pa | Internal Medicine | 133 E 58th St Ste 512, New York, NY 10022-1145 | 2020-08-31 |
| 1205447745 | Princeton Longevity Medical of New York Pllc | Internal Medicine | 1 World Trade Ctr Ste 71d, New York, NY 10007-0089 | 2020-08-10 |
| 1558971929 | New Jersey Birdie Health PC | Internal Medicine | 330 E 38th St Apt 15c, New York, NY 10016-2769 | 2020-07-31 |
| 1972112456 | Daniel William Fitzgerald | Internal Medicine | 402 E 67th St Fl 2, New York, NY 10065-6304 | 2020-07-30 |
| 1346858222 | Sowell Health PC | Internal Medicine | 308 E 38th St Ste 200, New York, NY 10016-9825 | 2020-07-16 |
| 1417574062 | Bob Yeon Shim | Internal Medicine | 330 W 145th St Apt 605, New York, NY 10039-3095 | 2020-06-30 |
| 1891319810 | Careathome Medical Practice, PC | Internal Medicine | 287 Park Ave S Fl 3, New York, NY 10010-4573 | 2020-06-05 |
| 1487276473 | Alinea Medical Associates PC | Internal Medicine | 205 E 69th St Apt 1b, New York, NY 10021-5437 | 2020-05-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.