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

Dr. Randall Phillips, MD

Individual provider Diagnostic Radiology Physician · NPI 1154304962

Dr. Randall Phillips, MD is a Diagnostic Radiology Physician in Lake Grove, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2780 Middle Country Rd Ste 210
Lake Grove, NY 11755-2120
Phone: (631) 588-4500
Fax: (631) 588-4595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4 Cobbler Ln, East Setauket, NY 11733-1168 — (952) 595-1100

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 146974 (NY)

Record details

NPI number1154304962
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 25, 2005
Last updated in NPPESDecember 4, 2017
Mailing address2780 Middle Country Rd Ste 210, Lake Grove, NY 11755-2120

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