Active NPI
Gary N Axelrad, MD
- Surgery Physician
- Manalapan, NJ
National Provider Identifier
1659503555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA03884800
- Practice address
- 9 Twin Lakes Dr
Manalapan, NJ 07726-8681 - Phone
- (732) 431-5347
- Fax
- (732) 431-8256
- NPI assigned
- Aug 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA03884800 | NJ | Primary |
Addresses
Primary practice location
9 Twin Lakes Dr
Manalapan, NJ 07726-8681
Mailing address
9 Twin Lakes Dr
Manalapan, NJ 07726-8681
Phone (732) 431-5347
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03884800 | NJ | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250035200000",
"number": "1659503555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 TWIN LAKES DR",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077268681",
"telephone_number": "732-431-5347",
"fax_number": "732-431-8256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 TWIN LAKES DR",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077268681",
"telephone_number": "732-431-5347",
"fax_number": "732-431-8256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXELRAD",
"first_name": "GARY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-12",
"last_updated": "2009-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA03884800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manalapan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.