Active NPI
Robert a. Graebe, M.D., LLC
- Reproductive Endocrinology Physician
- Shrewsbury, NJ
National Provider Identifier
1063613404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 25MA03861600
- Legal business name
- ROBERT A. GRAEBE, M.D., LLC
- Practice address
- 1131 Broad St
104
Shrewsbury, NJ 07702-4329 - Phone
- (732) 460-1073
- Fax
- (732) 460-1076
- NPI assigned
- May 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Graebe
- Title
- Practice Adm
- Phone
- (732) 460-1073
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 25MA03861600 | NJ | Primary |
Addresses
Primary practice location
1131 Broad St
104
Shrewsbury, NJ 07702-4329
Mailing address
1131 Broad St
104
Shrewsbury, NJ 07702-4329
Phone (732) 460-1073
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024835 | Other | CT | LICENSE |
| 139948-1 | Other | NY | LICENSE |
| D03159700 | Other | NJ | CDS |
| C-421804 | Medicaid | NJ | |
| MA3861600 | Other | NJ | LICENSE |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/7781/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1063613404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 BROAD ST",
"address_2": "104",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024329",
"telephone_number": "732-460-1073",
"fax_number": "732-460-1076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 BROAD ST",
"address_2": "104",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024329",
"telephone_number": "732-460-1073",
"fax_number": "732-460-1076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT A. GRAEBE, M.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-31",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "GRAEBE",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "PRACTICE ADM",
"authorized_official_telephone_number": "732-460-1073"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NJ",
"license": "25MA03861600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "024835",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "139948-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS",
"identifier": "D03159700",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "C-421804",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MA3861600",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.