Individual provider Active NPI

David I Graber, D.C.

  • Sports Physician Chiropractor
  • Parsippany, NJ
National Provider Identifier
1104855519
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
38MC00313600 Issued in NJ
Practice address
140 Littleton Rd
Ste 200
Parsippany, NJ 07054-1867
Phone
(973) 335-1100
Fax
(973) 335-2660
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 38MC00313600 NJ Primary

Addresses

Primary practice location

140 Littleton Rd
Ste 200
Parsippany, NJ 07054-1867

Mailing address

140 Littleton Rd
Ste 200
Parsippany, NJ 07054-1867
Phone (973) 335-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060816000464 NJ Practitioner - Chiropractic 2961405733 Practice locations: Parsippany, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

140 Littleton Rd
Suite 200
Parsippany, NJ 07054-1867
Phone (973) 335-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00313600NJMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1104855519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LITTLETON RD",
            "address_2": "STE 200",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541867",
            "telephone_number": "973-335-1100",
            "fax_number": "973-335-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LITTLETON RD",
            "address_2": "STE 200",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541867",
            "telephone_number": "973-335-1100",
            "fax_number": "973-335-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABER",
        "first_name": "DAVID",
        "middle_name": "I",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00313600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.