Axis Medical PLLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

F340980-1 Issued in NY

Legal business name

AXIS MEDICAL PLLC

Practice address

15 Fulton Ave
Poughkeepsie, NY 12603-2315

Phone

(845) 473-8996

NPI assigned

Aug 13, 2016

Last updated

Aug 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deepesh Patel, M.D.NPI 1720022486

Title

President

Phone

(845) 473-8996

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Deepesh S Patel, M.D.

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1720022486
  Authorized official Same address or phone

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

{
    "created_epoch": "1471046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471046400000",
    "number": "1568916906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FULTON AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032315",
            "telephone_number": "845-473-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FULTON AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032315",
            "telephone_number": "845-473-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-13",
        "last_updated": "2016-08-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DEEPESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-473-8996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "F340980-1",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "F340980-1",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NY",
            "license": "F340980-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Avshalomov, DO
• Sunday Chukwudebelu Awaka
• Hashir Ali Awan, M.D.
• Olubukunola Awosika, M.D.
• Axis Medical PLLC
• Zaw Zaw Aye, M.D.
• Brenda L Ayers, MD
• Margaret Ayuko-Williams
• Muhammad Chanchal Azad
• Shaheda N Azher, MD

• Nursing Facility/Intermediate Care Facility in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Nursing Facility/Intermediate Care Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.