Individual provider Active NPI

Michelle Kathleen Graziano, M.D.

  • Internal Medicine Physician
  • Cliffside Park, NJ
National Provider Identifier
1083938963
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA11572700 Issued in NJ
Practice address
1 Towne Ctr
Cliffside Park, NJ 07010-2046
Phone
(551) 234-3040
Fax
(551) 234-3034
NPI assigned
Mar 20, 2010
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 265742 NY
Internal Medicine Physician 207R00000X 25MA11572700 NJ Primary

Addresses

Primary practice location

1 Towne Ctr
Cliffside Park, NJ 07010-2046

Mailing address

1 Towne Ctr
Cliffside Park, NJ 07010-2046
Phone (551) 234-3040

Other practice location 1

10 E 102nd St
New York, NY 10029-6030
Phone (212) 241-6585

Other identifiers 1

IdentifierTypeStateIssuer
0977217MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131009000730 NY Practitioner - Internal Medicine 7911131842 Reassigns benefits to 1 organization
I20240304002987 NJ Practitioner - Internal Medicine 7911131842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Duke University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

1 Towne Ctr
Cliffside Park, NJ 07010-2046
Phone (551) 234-3040

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

695 Anderson Ave
Suite 120
Cliffside Park, NJ 07010-2046
Phone (551) 234-3040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Multi-Specialty Current Accepting new patients
Icahn School of Medicine at Mount Sinai Multi-Specialty CurrentSince Aug 1, 2013 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2013 Accepting new patients
Medical Associates of Englewood, PC Multi-Specialty CurrentSince Apr 1, 2024 Accepting new patients

Locations

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

10 E 102nd St
New York, NY 10029
Phone (212) 241-5656

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1083938963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TOWNE CTR",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102046",
            "telephone_number": "551-234-3040",
            "fax_number": "551-234-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TOWNE CTR",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102046",
            "telephone_number": "551-234-3040",
            "fax_number": "551-234-3034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 E 102nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296030",
            "country_code": "US",
            "telephone_number": "212-241-6585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAZIANO",
        "first_name": "MICHELLE",
        "middle_name": "KATHLEEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-20",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "265742",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11572700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0977217",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

Verify at the official NPI Registry.