Frederick Wayne Axelrod, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

038076 Issued in CT

Practice address

185 E 85TH St
Apt # 5K
New York, NY 10028-2140

Phone

(203) 863-3363

Fax

(203) 863-4739

NPI assigned

Sep 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Anesthesiology

Education

New York Medical College, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lenox Hill Hospital Hospital, New York, NY, CCN 330119
• St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

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

• North Shore - Lij Anesthesiology, PC

  • Anesthesiology Physician
  • Chappaqua, NY
  • NPI 1417401266
  Medicare reassignment Care Compare group NPD
• Boulevard Anesthesia Associates, PC

  • Anesthesiology Physician
  • Elmhurst, NY
  • NPI 1295770196
  NPD (past)
• Garden State Sports & Pain Medicine, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Clifton, NJ
  • NPI 1821580747
  NPD (past)

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

• Lenox Hill Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1477616571
  Care Compare affiliation
• St. John'S Riverside Hospital

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1578526695
  Care Compare affiliation

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1275520801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 E 85TH ST",
            "address_2": "APT # 5K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282140",
            "telephone_number": "203-863-3363",
            "fax_number": "203-863-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 E 85TH ST",
            "address_2": "APT # 5K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282140",
            "telephone_number": "203-863-3363",
            "fax_number": "203-863-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELROD",
        "first_name": "FREDERICK",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "038076",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "192793-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01620093-4",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Eric Axelrad, M.D., M.P.H
• Brandon Harris Axelrod, DDS
• Cayla Axelrod
• Deborah M Axelrod, MD
• Felicia B. Axelrod, M.D.
• Jillen B. Axelrod, PHD
• Judith Axelrod, MD
• Karen Stephanie Axelrod, PH.D. CLINICAL PSYCH
• Kobi Axelrod, MD
• Meryl Axelrod

• Anesthesiology Physician in New York, NY
• Providers in New York, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.