Organization Active NPI

Robert a. Graebe, M.D., LLC

  • Reproductive Endocrinology Physician
  • Shrewsbury, NJ
National Provider Identifier
1063613404
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
25MA03861600 Issued in NJ
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
024835OtherCTLICENSE
139948-1OtherNYLICENSE
D03159700OtherNJCDS
C-421804MedicaidNJ
MA3861600OtherNJLICENSE

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.