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

Mr. Randy Marlon Pellew, FNP

Individual provider Family Nurse Practitioner · NPI 1447642400

Mr. Randy Marlon Pellew, FNP is a Nurse Practitioner in New Hyde Park, New York. Qualified in 2014, 12 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

27005 76th Ave
New Hyde Park, NY 11040-1402
Phone: (718) 470-7310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12066 131st St, South Ozone Park, NY 11420-2922 — (718) 810-3700

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 339366 (NY)

Record details

NPI number1447642400
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 28, 2015
Last updated in NPPESJune 22, 2020
Certification dateJune 22, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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