Individual provider Active NPI

Axel Pflueger, M.D. PH.D. F.A.S.N.

  • Nephrology Physician
  • Monsey, NY
National Provider Identifier
1497725287
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
262325 Issued in NY
Practice address
6 Nelson Rd
Monsey, NY 10952-2413
Phone
(845) 325-9298
Fax
(212) 913-9694
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 44052 MN
Nephrology Physician 207RN0300X 25MA09212500 NJ
Nephrology Physician 207RN0300X 262325 NY Primary

Addresses

Primary practice location

6 Nelson Rd
Monsey, NY 10952-2413

Mailing address

6 Nelson Rd
Monsey, NY 10952-2413
Phone (845) 325-9298

Other identifiers 2

IdentifierTypeStateIssuer
317466200MedicaidMN
262325OtherNYLICENSURE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120201000921 NY Practitioner - NephrologyPractitioner - Internal Medicine 8123157856 Reassigns benefits to 1 organization
Practice locations: Monsey, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262325NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medicine Check PC CurrentSince Jan 22, 2024 Accepting new patients
Pflueger Medical Nephrology and Internal Medicine Services PLLC Nephrology CurrentSince Jul 19, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1497725287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NELSON RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109522413",
            "telephone_number": "845-325-9298",
            "fax_number": "212-913-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 NELSON RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109522413",
            "telephone_number": "845-325-9298",
            "fax_number": "212-913-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFLUEGER",
        "first_name": "AXEL",
        "credential": "M.D. PH.D. F.A.S.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "44052",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA09212500",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "262325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317466200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "262325",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

Verify at the official NPI Registry.