Individual provider Active NPI

Wayne Axman, DPM

  • Foot Surgery Podiatrist
  • Astoria, NY
National Provider Identifier
1922043033
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N003065 Issued in NY
Practice address
3016 30TH Dr
3Rd Floor
Astoria, NY 11102-1874
Phone
(718) 626-3800
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N003065 NY Primary

Addresses

Primary practice location

3016 30TH Dr
3Rd Floor
Astoria, NY 11102-1874

Mailing address

PO Box 27
Atlantic Beach, NY 11509-0027
Phone (718) 626-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914001310 NY Practitioner - Podiatry 1456328814 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount Sinai 2,809 clinicians

Practice addresses (Care Compare)

2510 30TH Ave
Astoria, NY 11102-2448
Phone (718) 932-1000

2520 30TH Ave
Astoria, NY 11102-2448
Phone (718) 808-7777

Hospital & facility affiliations

  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024
  • Queens Hospital Center Hospital, Jamaica, NY, CCN 330231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue13
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
N003065NYMDFoot Surgery Podiatrist

Practice roles (9 of 13)

OrganizationSpecialtyStatusNew patients
The Mount Sinai Hospital CurrentSince Jul 1, 2004 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 27, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 27, 2023 Accepting new patients
Mount Sinai Hospital CurrentSince Jul 1, 2004 Accepting new patients
American Foot Care PC Foot Surgery CurrentSince Jan 1, 1987 Accepting new patients
Mount Sinai Hospital Past Accepting new patients
Broadway Cardiopulmonary, P.C. Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

3141 45th St
Long Island City, NY 11103
Phone (718) 274-2600

2715 30th Ave
Long Island City, NY 11102
Phone (718) 267-4808

3016 30th Dr
Fl 3
Long Island City, NY 11102
Phone (718) 626-3800

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

150 E 42nd St
New York, NY 10017
Phone (212) 661-8139

10114 Liberty Ave
#13292
Ozone Park, NY 11417
Phone (718) 487-3330

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: americanfootcare.wayneaxman@147620.advancedmd-direct.com

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1922043033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "ATLANTIC BEACH",
            "state": "NY",
            "postal_code": "115090027",
            "telephone_number": "718-626-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 30TH DR",
            "address_2": "3RD FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021874",
            "telephone_number": "718-626-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXMAN",
        "first_name": "WAYNE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N003065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.