Active NPI
Andrew Axilrod, MD
- Urology Physician
- Somers Point, NJ
National Provider Identifier
1417903733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD039619L
- Practice address
- 403 Bethel Rd
Somers Point, NJ 08244-2108 - Phone
- (609) 927-8746
- Fax
- (609) 601-1406
- NPI assigned
- May 26, 2006
- Last updated
- Apr 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD039619L | PA | Primary |
Addresses
Primary practice location
403 Bethel Rd
Somers Point, NJ 08244-2108
Mailing address
403 Bethel Rd
Somers Point, NJ 08244-2108
Phone (609) 927-8746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016736860001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD039619L | PA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365724800000",
"number": "1417903733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 BETHEL RD",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082442108",
"telephone_number": "609-927-8746",
"fax_number": "609-601-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 BETHEL RD",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082442108",
"telephone_number": "609-927-8746",
"fax_number": "609-601-1406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXILROD",
"first_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2013-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD039619L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016736860001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somers Point, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.