Individual provider Active NPI

David Zuckerman Axelrod, MD

  • Specialist
  • Highland Beach, FL
National Provider Identifier
1629467741
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101027274 Issued in VA
Practice address
3740 S Ocean Blvd
Apt 603
Highland Beach, FL 33487-3400
Phone
(561) 279-9371
NPI assigned
Jan 13, 2015
Last updated
Jan 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101027274 VA Primary

Addresses

Primary practice location

3740 S Ocean Blvd
Apt 603
Highland Beach, FL 33487-3400

Mailing address

3740 S Ocean Blvd
Apt 603
Highland Beach, FL 33487-3400
Phone (561) 279-9371

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101027274VAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1629467741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 S OCEAN BLVD",
            "address_2": "APT 603",
            "city": "HIGHLAND BEACH",
            "state": "FL",
            "postal_code": "334873400",
            "telephone_number": "561-279-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 S OCEAN BLVD",
            "address_2": "APT 603",
            "city": "HIGHLAND BEACH",
            "state": "FL",
            "postal_code": "334873400",
            "telephone_number": "561-279-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELROD",
        "first_name": "DAVID",
        "middle_name": "ZUCKERMAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101027274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.