Individual provider Active NPI

Howard Ian Axelrod, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pomona, NJ
National Provider Identifier
1093705014
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
25MA07744200 Issued in NJ
Practice address
65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone
(609) 748-7089
Fax
(609) 652-3460
NPI assigned
Oct 21, 2005
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA07744200 NJ
Surgery Physician 208600000X 159842 NY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 73344 CT
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X C1-0027945 DE
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 25MA07744200 NJ Primary

Addresses

Primary practice location

65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102

Mailing address

65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone (609) 748-7089

Other practice location 1

100 Madison Ave # Gagnonc
Morristown, NJ 07960-6136
Phone (973) 971-7300

Other practice location 2

4755 Ogletown Stanton Road
Suite 1E50
Newark, DE 19718-2200
Phone (302) 733-1980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, CT, DE, PA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20041110000835 NJ Practitioner - Thoracic Surgery 2163485152 Reassigns benefits to 4 organizations
I20221214001461 NY Practitioner - Thoracic Surgery 2163485152 Reassigns benefits to 1 organization
I20230912003524 CT Practitioner - Thoracic Surgery 2163485152 Reassigns benefits to 1 organization
I20250630002246 DE Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 2163485152 Reassigns benefits to 1 organization
I20250924004590 PA Practitioner - Cardiac Surgery 2163485152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
New York University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

111 Osborne St
Suite 121
Danbury, CT 06810-6019
Phone (203) 739-7038

30 Monument Rd
Suite 1100
York, PA 17403-5024
Phone (717) 851-6454

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07744200NJMDSurgery Physician
159842NYMDSurgery Physician
73344CTMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
C1-0027945DEMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Jul 1, 2015 Accepting new patients
Mid-Atlantic Surgical Associates Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Apr 9, 2024 Accepting new patients
Atlanticare Physician Group PA Family Medicine Current Accepting new patients
New York University CurrentSince Oct 29, 2011 Accepting new patients
Wellspan Medical Group CurrentSince Sep 29, 2025 Accepting new patients
New York University Current Accepting new patients
Nuvance Health Medical Practice CT, Inc. Family Medicine CurrentSince Aug 16, 2023 Accepting new patients
Practice Associates Medical Group Family Medicine CurrentSince Jan 24, 2025 Accepting new patients
Nuvance Health Medical Practice PC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Dec 1, 2022 Accepting new patients
Mid-Atlantic Surgical Assoc. Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Wellspan Medical Group Current Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Wellspan Medical Group CurrentSince Sep 29, 2025 Accepting new patients
New York University Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 29, 2011 Accepting new patients
Christiana Care Health Services Inc CurrentSince Apr 28, 2025 Accepting new patients
Atlanticare Physician Group CurrentSince Jul 1, 2015 Accepting new patients
Christiana Care Health Services, Inc CurrentSince Apr 28, 2025 Accepting new patients
Cardiac Surgery Group, PC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

111 Osborne St
Ste 121
Danbury, CT 06810
Phone (203) 739-7010

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletown Stanton Rd
#1E50
Newark, DE 19718
Phone (302) 733-1980

4755 Ogletown Stanton Rd
Ste 1E50
Newark, DE 19718
Phone (302) 733-1980

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

95 Madison Ave
Morristown, NJ 07960
Phone (973) 267-1010

1944 State Route 33
Ste 201
Neptune, NJ 07753
Phone (732) 776-4618

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

65 W Jimmie Leeds Rd
Ste 7550
Pomona, NJ 08240

1 Columbia St
Ste 300
Poughkeepsie, NY 12601
Phone (845) 483-0100

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

30 Monument Rd
Ste 1100
York, PA 17403
Phone (717) 851-2441

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: haxelrod542298@direct.ahsys.org

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1093705014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 W JIMMIE LEEDS RD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082409102",
            "telephone_number": "609-748-7089",
            "fax_number": "609-652-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 W JIMMIE LEEDS RD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082409102",
            "telephone_number": "609-748-7089",
            "fax_number": "609-652-3460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Madison Ave # Gagnonc",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "973-971-7300",
            "fax_number": "973-984-7019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "address_2": "SUITE 1E50",
            "address_purpose": "LOCATION",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-1980",
            "fax_number": "302-733-1986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AXELROD",
        "first_name": "HOWARD",
        "middle_name": "IAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07744200",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "159842",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CT",
            "license": "73344",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "DE",
            "license": "C1-0027945",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "25MA07744200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NJ

Sources for this page

Verify at the official NPI Registry.