Organization Active NPI

Axon Neurosurgical PLLC

  • Neurological Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1518103688
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
188413 Issued in NY
Legal business name
AXON NEUROSURGICAL PLLC
Practice address
374 Stockholm St
Brooklyn, NY 11237-4006
Phone
(718) 963-7266
Fax
(718) 963-6491
NPI assigned
Dec 19, 2008
Last updated
Dec 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Authorized official

Name
Erico Ramos Cardoso, M.D.NPI 1447392121
Title
Physician
Phone
(718) 963-7266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 188413 NY Primary

Addresses

Primary practice location

374 Stockholm St
Brooklyn, NY 11237-4006

Mailing address

249 Degraw St
Brooklyn, NY 11231-4440
Phone (718) 963-7266

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1518103688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 DEGRAW ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314440",
            "telephone_number": "718-963-7266",
            "fax_number": "718-963-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374006",
            "telephone_number": "718-963-7266",
            "fax_number": "718-963-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXON NEUROSURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "CARDOSO",
        "authorized_official_first_name": "ERICO",
        "authorized_official_middle_name": "RAMOS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-963-7266",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "188413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.