AXIOM MEDICAL PC (NPI# 1689013443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689013443 |
| Entity Type | Organization |
| Organization Name | AXIOM MEDICAL PC |
| Practice Address |
9602 Avenue L Brooklyn NY 11236-4813 |
| Mailing Address |
842 Van Buren St Baldwin NY 11510-4652 |
| Practice Telephone | 7184440437 |
| Practice Fax Number | 7187631267 |
| Mailing Telephone | 7184440437 |
| Mailing Fax Number | 7187631267 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2018-04-19 |
| Authorized Official Name | DANIEL DUME-CHARLES (OWNER) |
| Authorized Official Telephone | 7184440437 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 220943 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03629696 | 05 | |
| NY | NY LICENSE | 220943 | 01 |
| Street Address |
9602 AVENUE L |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11236-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578588182 | Daniel Dume-charles | Family Medicine | 9602 Avenue L, Brooklyn, NY 11236-4813 | 2006-07-13 |
| 1609250869 | Mjc Medical Care PC | Internal Medicine | 9602 Avenue L, Brooklyn, NY 11236-4813 | 2015-07-16 |
| 1104962547 | Statewide Medical and Surgical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 9602 Avenue L, Brooklyn, NY 11236-4813 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575578 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Remsen Ave, Canarsie, NY 11236 | 2020-10-13 |
| 1659996080 | Elina Fils Aime | Licensed Practical Nurse | 8 Parter Gate 15, Brooklyn, NY 11236 | 2020-06-11 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1114559309 | Jonathan Eisen Dc, PC | Chiropractor | 9207 Flatlands Ave, Brooklyn, NY 11236 | 2020-02-06 |
| 1508497462 | New Direction Supportive Services | Clinic/Center | 1123 East 100th Street, Brooklyn, NY 11236 | 2020-01-30 |
| 1073151544 | Belinda Clesidor | Registered Nurse | 1200 E 5519 St, Brooklyn, NY 11236 | 2019-12-16 |
| 1154898880 | Shanice A Mcghie | Licensed Practical Nurse | 718 East 84th Street, Brooklyn, NY 11236 | 2018-10-31 |
| 1891286241 | Casandra Christine Gibbs | Licensed Practical Nurse | 1380 East 84th Stree, 2 Fl, Brooklyn, NY 11236 | 2018-05-22 |
| 1942707161 | Suzette Rebecca Ryan | Registered Nurse | 1009 E 86th Street, 3rd Floor, Brooklyn, NY 11236 | 2018-04-13 |
| 1275045395 | Danica Noel-sylvester | Nurse Practitioner | 6565 Flatlands Ave Rm C-150, Brooklyn, NY 11236 | 2017-10-30 |
| Find all providers in zip 11236 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962976274 | Kings County House Calls Np In Family Health Pllc | General Practice | 3709 Flatlands Ave, Brooklyn, NY 11234-3507 | 2019-01-20 |
| 1306392840 | David Zisha Kinraich | General Practice | 4910 15th Ave Apt 4l, Brooklyn, NY 11219-3236 | 2016-08-25 |
| 1255705075 | Nyc Brook Medical LLC | General Practice | 183 Wilson St Ste 205, Brooklyn, NY 11211-7578 | 2015-11-17 |
| 1811366099 | M S Elisabeth Fanini-lemoine Colon | General Practice | 107 Hart St, Apt.3, Brooklyn, NY 11206-6814 | 2015-09-17 |
| 1407232119 | Andral Mathieu St. Fleur | General Practice | 1023 E 58th St Fl 1, Brooklyn, NY 11234-2517 | 2015-08-04 |
| 1427431568 | Harold Matos Casano | General Practice | 374 Stockholm St Fl 4, Brooklyn, NY 11237-4006 | 2015-07-07 |
| 1467860148 | Jerome Cantor | General Practice | 258 82nd St, Brooklyn, NY 11209-3811 | 2014-07-25 |
| 1225458623 | Lily Xu | General Practice | 757 60th St Fl 1, Brooklyn, NY 11220-4209 | 2014-04-24 |
| 1477974301 | Michel Medical | General Practice | 567 Midwood St, Brooklyn, NY 11203-1110 | 2013-12-19 |
| 1699103200 | Theodor Stanley Kaufman | General Practice | 272 Clinton St, Brooklyn, NY 11201-6145 | 2013-10-16 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.