Patricia Graham, MD PC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PATRICIA GRAHAM, MD PC

Practice address

106 Straube Center Blvd
Suite 118
Pennington, NJ 08534-1449

Phone

(609) 303-0120

Fax

(609) 303-0151

NPI assigned

Jun 15, 2011

Last updated

Apr 8, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patricia Anne GrahamNPI 1124114079

Title

MD

Phone

(609) 303-0120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Graham, MD

  • Physical Medicine & Rehabilitation Physician
  • Pennington, NJ
  • NPI 1124114079
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1053606319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 STRAUBE CENTER BLVD",
            "address_2": "SUITE 118",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341449",
            "telephone_number": "609-303-0120",
            "fax_number": "609-303-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 STRAUBE CENTER BLVD",
            "address_2": "SUITE 118",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341449",
            "telephone_number": "609-303-0120",
            "fax_number": "609-303-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA GRAHAM, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "609-303-0120",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miten Patel, MBBS
• Pranavi Patel, M.D.
• Preet Patel, MD
• Ronak Patel, MD
• Jason Patnick
• Kelly Peate, APN-C
• Christian Louis Pecoraro, DO
• Pediatrix Medical Group PA
• Victoria E Pena-Cardinali
• Pennington Adult Living Services

• Skilled Nursing Facility in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.