{"npi":"1093705014","type":"NPI-1","status":"active","name":{"display":"Howard Axelrod M.D.","other":[],"first":"HOWARD","last":"AXELROD","middle":"IAN","credential":"M.D."},"specialty":{"primary_taxonomy":"208G00000X","primary_taxonomy_description":"Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician","slug":"thoracic-surgery-cardiothoracic-vascular-surgery-physician","schema_org_specialty":null,"all":[{"code":"208600000X","description":"Surgery","primary":false,"state":"NJ","license":"25MA07744200"},{"code":"208600000X","description":"Surgery","primary":false,"state":"NY","license":"159842"},{"code":"208G00000X","description":"Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician","primary":false,"state":"CT","license":"73344"},{"code":"208G00000X","description":"Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician","primary":false,"state":"DE","license":"C1-0027945"},{"code":"208G00000X","description":"Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician","primary":true,"state":"NJ","license":"25MA07744200"}]},"addresses":[{"purpose":"LOCATION","street_1":"65 W JIMMIE LEEDS RD","city":"POMONA","state":"NJ","postal_code":"082409102","country_code":"US","phone":"6097487089","fax":"6096523460"},{"purpose":"MAILING","street_1":"65 W JIMMIE LEEDS RD","city":"POMONA","state":"NJ","postal_code":"082409102","country_code":"US","phone":"6097487089","fax":"6096523460"}],"license":{"state":"NJ","number":"25MA07744200"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0044440","state":"NJ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041110000835","type_code":"14-33","type_desc":"PRACTITIONER - THORACIC SURGERY","state":"NJ","pac_id":"2163485152"},{"enrlmt_id":"I20221214001461","type_code":"14-33","type_desc":"PRACTITIONER - THORACIC SURGERY","state":"NY","pac_id":"2163485152"},{"enrlmt_id":"I20230912003524","type_code":"14-33","type_desc":"PRACTITIONER - THORACIC SURGERY","state":"CT","pac_id":"2163485152"},{"enrlmt_id":"I20250630002246","type_code":"14-78","type_desc":"PRACTITIONER - CARDIAC SURGERY","state":"DE","pac_id":"2163485152"},{"enrlmt_id":"I20250924004590","type_code":"14-78","type_desc":"PRACTITIONER - CARDIAC SURGERY","state":"PA","pac_id":"2163485152"}]},"enumeration_date":"2005-10-21","last_updated":"2025-06-23","_meta":{"source":"NPPES","snapshot_date":"2025-06-23","doc_url":"https://findmynpi.com/api"}}