Active NPI
Hermine Kessler Axelrod, RD CDE
- Registered Dietitian
- Fort Lee, NJ
National Provider Identifier
1669527693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00873077
- Practice address
- 2100 Linwood Ave
Suite 15D
Fort Lee, NJ 07024-3141 - Phone
- (201) 461-9279
- Fax
- (201) 461-8262
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00873077 | Primary |
Addresses
Primary practice location
2100 Linwood Ave
Suite 15D
Fort Lee, NJ 07024-3141
Mailing address
2100 Linwood Ave
Suite 15D
Fort Lee, NJ 07024-3141
Phone (201) 461-9279
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22220261 | Other | CDE AM ASSOCIATION OF DIA | |
| 00873077 | Other | RD AM DIETETIC ASSOCIATIO |
Other names 1
- Ms. Hermine Kessler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Current | Accepting new patients |
Locations
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669527693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 LINWOOD AVE",
"address_2": "SUITE 15D",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070243141",
"telephone_number": "201-461-9279",
"fax_number": "201-461-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 LINWOOD AVE",
"address_2": "SUITE 15D",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070243141",
"telephone_number": "201-461-9279",
"fax_number": "201-461-8262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSLER AXELROD",
"first_name": "HERMINE",
"name_prefix": "Ms.",
"credential": "RD CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "00873077",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDE AM ASSOCIATION OF DIA",
"identifier": "22220261",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RD AM DIETETIC ASSOCIATIO",
"identifier": "00873077",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HERMINE",
"last_name": "KESSLER",
"prefix": "MS.",
"credential": "RD CDE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.