Organization Active NPI

Axis Gastroenterology P.a.

  • Allergy & Immunology Physician
  • Cherry Hill, NJ
National Provider Identifier
1578467932
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
AXIS GASTROENTEROLOGY P.A.
Practice address
1939 Marlton Pike E
Ste 250
Cherry Hill, NJ 08003-4507
Phone
(856) 429-4433
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Randa Foda
Title
Business Manager
Phone
(609) 332-4731

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU Primary
Gastroenterology Physician 207RG0100X NU

Addresses

Primary practice location

1939 Marlton Pike E
Ste 250
Cherry Hill, NJ 08003-4507

Mailing address

1939 Marlton Pike E
Ste 250
Cherry Hill, NJ 08003-4507
Phone (856) 429-4433

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1578467932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 MARLTON PIKE E",
            "address_2": "STE 250",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034507",
            "telephone_number": "856-429-4433",
            "fax_number": "856-444-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 MARLTON PIKE E",
            "address_2": "STE 250",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034507",
            "telephone_number": "856-429-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS GASTROENTEROLOGY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "FODA",
        "authorized_official_first_name": "RANDA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "609-332-4731"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.