DR. DAVID J. AXELROD (NPI# 1093990681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093990681 |
| Entity Type | Individual |
| Full Name | DR. DAVID J. AXELROD |
| Credential | M.D. |
| Practice Address |
17660 Union Tpke Ste 130 Flushing NY 11366 |
| Mailing Address |
40 Valley Stream Pkwy Ste 100 Malvern PA 19355-1407 |
| Practice Telephone | 7188209729 |
| Practice Fax Number | 7188209730 |
| Mailing Telephone | 6106448900 |
| Mailing Fax Number | 4849240053 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2020-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
225185-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
225185-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02944269 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 270 Park Ave, Department of Radiology, Huntington Hospital, Huntington, NY 117432787 | 6312512297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629467741 | David Zuckerman Axelrod | Specialist | 3740 S Ocean Blvd, Apt 603, Highland Beach, FL 33487-3400 | 2015-01-13 |
| 1043648231 | David James Axelrod | Dentist | 7101 Hoff St Bldg 9240, Usa Dental Activity, Fort Benning, GA 31905-5645 | 2013-10-24 |
| 1477574820 | David Adam Axelrod | Transplant Surgery | 200 Hawkins Dr, Iowa City, IA 52242 | 2006-07-21 |
| 1629096383 | David J. Axelrod | Internal Medicine | 833 Chestnut St, Suite 701, Philadelphia, PA 19107-4414 | 2006-07-18 |
| 1073540076 | David A Axelrod | Allergy & Immunology | 1620 S Queen St, York, PA 17403-4637 | 2006-06-26 |
| 1750317624 | David M. Axelrod | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-06-23 |
| Street Address |
17660 UNION TPKE STE 130 |
| City | FLUSHING |
| State | NY |
| Zip Code | 11366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438599 | Esther Mashaiv | Specialist/Technologist, Other | 7345 197st Flushing, New York, NY 11366 | 2018-08-27 |
| 1831615756 | Joseph Sarreal | Licensed Practical Nurse | 77-03 166 Street, Fresh Meadows, NY 11366 | 2017-08-22 |
| 1780106872 | Nadezhda Bababekova | Registered Nurse | 77-15 169st, Fresh Meadows, NY 11366 | 2017-07-11 |
| 1669902284 | Alla Roziyeva | Case Manager/Care Coordinator | 162-16 Union Turnpike, Suite 303, Fresh Meadows, NY 11366 | 2017-06-15 |
| 1568998508 | Patricia Guthrie | Technician/Technologist | 17760 Union Tpke, Suite 110, Fresh Meadows, NY 11366 | 2017-05-11 |
| 1639617384 | Elina Gavrielova | Clinical Nurse Specialist | 7531 190th Street, Fresh Meadows, NY 11366 | 2017-02-02 |
| 1164966818 | Lamisa Ahsan | Pharmacist | 186-16 Union Tunrpike, Flushing, NY 11366 | 2016-12-15 |
| 1508217027 | Huisi Wu | Case Manager/Care Coordinator | 164-19 78th Ave, Fresh Meadows, NY 11366 | 2016-06-27 |
| 1770932113 | Mary-kate Martinez | Community Health Worker | 75-02 162nd St, Fresh Meadows, NY 11366 | 2016-06-07 |
| 1366899866 | Medical Offices of Occupational Health Resources P C | Clinic/Center | Hangar 3 Room 117, Laguardia Airport, Flushing, NY 11366 | 2016-05-16 |
| Find all providers in zip 11366 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538575550 | Jc Medical Services, Pllc | Radiology | 4160 Main St, Suite 312, Flushing, NY 11355-3833 | 2014-07-10 |
| 1225393416 | Srikanth Reddy Boddu | Radiology | 5645 Main St, Flushing, NY 11355-5045 | 2012-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124632039 | Radiance Medicine LLC | Radiology | 95 Norman Ave, Brooklyn, NY 11222-2937 | 2020-09-08 |
| 1174083828 | Mark Medical Care Queens Pllc | Radiology | 6405 Woodside Ave, Woodside, NY 11377-3654 | 2019-03-20 |
| 1962917492 | Israel Schur Md Pllc | Radiology | 202 Centre St Fl 5, New York, NY 10013-3613 | 2017-12-06 |
| 1659897775 | 9909 Medical | Radiology | 2515 Crescent St Ste 1, Astoria, NY 11102-4370 | 2017-08-21 |
| 1104357896 | Paramount Diagnostics LLC | Radiology | 201 Irving Pl, Woodmere, NY 11598-1639 | 2017-03-23 |
| 1881009926 | Dennis Cummings | Radiology | 450 Clarkson Ave., Box 1262, Department Suny Downstate Medical Center, Brooklyn, NY 11203-1262 | 2014-06-27 |
| 1699192815 | Amir Noor | Radiology | 240 E 86th St Apt Phb, New York, NY 10028-3000 | 2014-03-26 |
| 1689014987 | Advanced Access Medical Care, Pllc | Radiology | 1733 Eastchester Rd, Bronx, NY 10461-2315 | 2013-07-01 |
| 1851739601 | Vascular Interventional Services | Radiology | 6335 Transit Rd, Depew, NY 14043-1030 | 2013-06-13 |
| 1437406238 | Arbabzadeh Massoud Physician, PC | Radiology | 2809 Wehrle Dr Ste 13, Williamsville, NY 14221-7385 | 2012-08-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.