DR. RANDOLPH LEE NUNEZ M.D. NPI 1083868384

NPI Information

NPI: 1083868384
Provider Name: DR. RANDOLPH LEE NUNEZ, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
PECOS Registration: Yes
Address: 15 W RAILROAD AVE
TENAFLY, NJ
ZIP 07670
Phone: (201) 208-7201

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NPI Details

DR. Randolph Lee Nunez, M.D. is a pediatrics in Tenafly, NJ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Randolph Lee Nunez, M.D. NPI is 1083868384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 W RAILROAD AVE
TENAFLY, NJ
ZIP 07670-093
Phone: (201) 208-7201
Fax: (231) 216-7579

The NPI 1083868384 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/13/2008 and was last updated on 3/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207P00000X	Emergency Medicine	25MA10512200	NEW JERSEY	No
2	207P00000X	Emergency Medicine	250977	NEW YORK	No
3	208000000X	Pediatrics	250977	NEW YORK	No
4	208000000X	Pediatrics	25MA10512200	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0519847	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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