Philome J.H. Gracia, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

191638 Issued in NY

Practice address

250 Grand Concourse
Bronx, NY 10451-5430

Phone

(718) 292-4455

Fax

(718) 292-9228

NPI assigned

Jul 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124032438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 CARLLS PATH",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295403",
            "telephone_number": "631-586-9201",
            "fax_number": "718-292-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515430",
            "telephone_number": "718-292-4455",
            "fax_number": "718-292-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIA",
        "first_name": "PHILOME",
        "middle_name": "J.H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "191638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02412288",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Nurse Practitioner in Psychiatric Mental Health.P.C
• Grace Optical
• Grace Suh Mental Health Counseling, P.C
• Gracelife Family Health NP PC
• Alex Gracia, MD
• Graciebrutus Pharmacy Inc.
• Ageserin Gradney
• Travis R Graff
• Enkela Gragjevi, PHARMD
• Aldith Leonie Graham-Dixon, LPN

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.