Active NPI
James Robert Graziano, D.C.
- Chiropractor
- Stony Brook, NY
National Provider Identifier
1023001070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 010072
- Practice address
- 2500 Nesconset Hwy
Building 12a
Stony Brook, NY 11790-2555 - Phone
- (631) 877-1789
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 010072 | NY | Primary |
Addresses
Primary practice location
2500 Nesconset Hwy
Building 12a
Stony Brook, NY 11790-2555
Mailing address
2500 Nesconset Hwy
Building 12a
Stony Brook, NY 11790-2555
Phone (631) 877-1789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010072 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237766400000",
"number": "1023001070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 NESCONSET HWY",
"address_2": "BUILDING 12A",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117902555",
"telephone_number": "631-877-1789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NESCONSET HWY",
"address_2": "BUILDING 12A",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117902555",
"telephone_number": "631-877-1789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAZIANO",
"first_name": "JAMES",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2009-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "010072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.