Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ian Ryan Axline

Individual provider Physician Assistant · NPI 1184017659

Ian Ryan Axline is a Physician Assistant in Uniondale, New York. Qualified in 2014, 12 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2015

Practice location Address checks out

252 Maple Ave
Uniondale, NY 11553-1620
Phone: (516) 663-8451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 18447 (NY)

Record details

NPI number1184017659
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 9, 2015
Last updated in NPPESJune 28, 2023
Mailing address252 Maple Ave, Uniondale, NY 11553-1620

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Uniondale