Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mildred B. Randolph, DO

Individual provider Family Medicine Physician · NPI 1811511033

Dr. Mildred B. Randolph, DO is a Family Practice in Sewell, New Jersey. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2020, 6 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
6
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
NJ
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

405 Hurffville Crosskeys Rd Ste 101
Sewell, NJ 08080-9340
Phone: (856) 218-0300
Fax: (856) 589-5082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 854 S White Horse Pike Unit 4, Hammonton, NJ 08037-2033 — (609) 704-0185
  • 100 Century Pkwy Ste 140, Mount Laurel, NJ 08054-1149 — (856) 380-2400
  • 1474 Tanyard Road, Sewell, NJ 08080 — (856) 566-7045
  • 42 E Laurel Rd Ste 2100a, Stratford, NJ 08084-1354 — (856) 566-6477

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MB11608200 (NJ)

Record details

NPI number1811511033
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 3, 2020
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing address405 Hurffville Crosskeys Rd Ste 101, Sewell, NJ 08080-9340

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2020 (6 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Sewell