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Axen Theodore
NPI 1497130223 · Licensed Practical Nurse · Baldwin, NY
Axen Theodore is a Licensed Practical Nurse provider in Baldwin, NY (NPI 1497130223).
Provider details
- NPI number
- 1497130223
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 309721 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3325 Bertha Dr
Baldwin, NY 11510-5006
Phone: (347) 821-2582
Street-level locationGet directions
Mailing address
3325 Bertha Dr
Baldwin, NY 11510-5006
Registry dates
- Enumerated
- 2015-07-22
- Last updated
- 2015-07-22
Frequently asked questions
- What is Axen Theodore's NPI number?
- Axen Theodore's National Provider Identifier (NPI) is 1497130223, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Axen Theodore's specialty?
- Axen Theodore is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Axen Theodore located?
- Axen Theodore's practice location on file with NPPES is 3325 Bertha Dr, Baldwin, NY 11510-5006.
- What is Axen Theodore's phone number?
- The practice phone number listed in the NPPES registry for Axen Theodore is (347) 821-2582.
- Is Axen Theodore's NPI active?
- Yes — Axen Theodore's NPI (1497130223) is active in the NPPES registry as of the last update on 2015-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.