| Dr David J Axelrod, MD | |
|
17660 Union Tpke Ste 130, Flushing, NY 11366 | |
| (718) 820-9729 | |
| (718) 820-9730 |
| Full Name | Dr David J Axelrod |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 24 Years |
| Location | 17660 Union Tpke Ste 130, Flushing, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093990681 | NPI | - | NPPES |
| 02944269 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 225185-1 (New York) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 225185-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Plainview Hospital | Plainview, NY | Hospital |
| Peconic Bay Medical Center | Riverhead, NY | Hospital |
| Ns/lij Hs Huntington Hospital | Huntington, NY | Hospital |
| North Shore University Hospital | Manhasset, NY | Hospital |
| Ns/lij Hs Southside Hospital | Bay shore, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 5625 |
| Southside Faculty Medical Affiliates University Faculty Practice Corpo | 5698175933 | 198 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Entity Name | Empire State Radiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255962783 PECOS PAC ID: 4385075241 Enrollment ID: O20200508000320 |
| Entity Name | Southside Faculty Medical Affiliates University Faculty Prac |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033791058 PECOS PAC ID: 5698175933 Enrollment ID: O20210608003649 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David J Axelrod, MD 40 Valley Stream Pkwy Ste 100, Malvern, PA 19355-1407 Ph: (610) 644-8900 | Dr David J Axelrod, MD 17660 Union Tpke Ste 130, Flushing, NY 11366 Ph: (718) 820-9729 |
Kiran Chawla, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4500 Parsons Blvd, Flushing, NY 11355 Phone: 718-670-5447 Fax: 718-670-3039 | |
Dr. Rakhi Goel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Dept Of Radiology, Flushing, NY 11355 Phone: 718-670-1888 | |
Dr. John P Derosa, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1594 Fax: 718-670-1901 | |
Dr. Jeffrey C Lee, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1594 Fax: 718-670-1901 | |
Lia Bartella, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 170-17 Northern Blvd, Flushing, NY 11358 Phone: 646-637-8331 Fax: 718-539-4021 | |
Dr. Han Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1594 Fax: 718-670-1901 |