Dr. Marvin S Randall, MD
Health & Wellness Coach in Maplewood, New Jersey
1194247395- Practice location
- 32 Jacoby St, Maplewood, NJ 07040-3025
- Phone
- 862-205-4931
- Fax
- —
- Last updated
- January 2, 2025
Marvin Sean Randall is a Health & Wellness Coach based in Maplewood, NJ. Marvin Sean Randall practices in Maplewood, NJ and has the professional credentials of MD. The NPI Number for Marvin Sean Randall is 1194247395 and holds a License No. A1473834 (NJ). The current practice location address for Marvin Sean Randall is 32 Jacoby St, Maplewood, NJ 07040-3025 and can be reached out via phone at 862-205-4931.
Provider Profile Details
- NPI Number
- 1194247395
- Provider Name
- Marvin Sean Randall
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 32 Jacoby St, Maplewood, NJ 07040-3025
- Phone Number
- 862-205-4931
- Primary Taxonomy
- Health & Wellness Coach · 171400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 10, 2017
- Last Update Date
- January 2, 2025
- Certification Date
- January 2, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 32 Jacoby St
Maplewood, NJ 07040-3025 - City
- Maplewood
- State
- New Jersey
- Zip
- 07040-3025
- Phone Number
- 862-205-4931
Provider Business Mailing Address Details
- Address
- 32 Jacoby St
Maplewood, NJ 07040-3025 - City
- Maplewood
- State
- NJ
- Zip
- 07040-3025
- Phone Number
- 862-205-4931
License Information
- License Number
- A1473834
- License State
- NJ
- Taxonomy
- Health & Wellness Coach · 171400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Marvin S Randall, MD?
The NPI number of Dr. Marvin S Randall, MD is 1194247395. It was assigned on July 10, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Marvin S Randall, MD?
Dr. Marvin S Randall, MD is registered under the primary taxonomy Health & Wellness Coach (code 171400000X), licensed in NJ under license number A1473834.
Where does Dr. Marvin S Randall, MD practice?
The practice location is 32 Jacoby St, Maplewood, NJ 07040-3025. The office can be reached at 862-205-4931 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194247395 directly on the NPPES registry website.