Patricia Graham, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MA64320 Issued in NJ

Practice address

106 Straube Center Blvd
Suite 118
Pennington, NJ 08534-1449

Phone

(609) 303-0120

Fax

(609) 303-0151

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Physical Medicine and Rehabilitation

Education

Jefferson Medical College of Thomas Jefferson University, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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

• Patricia Graham, MD PC

  • Skilled Nursing Facility
  • Pennington, NJ
  • NPI 1053606319
  Medicare reassignment NPD Authorized official
• Physiatrists of New Jersey

  • Physical Medicine & Rehabilitation Physician
  • Teaneck, NJ
  • NPI 1740723428
  Medicare reassignment NPD
• Columbia Doctors of New Jersey, P. C.

  • Orthopaedic Surgery Physician
  • Englewood, NJ
  • NPI 1184202822
  NPD (past)
• Physical Medicine and Rehabilitation Center PA

  • Rehabilitation Practitioner
  • Englewood, NJ
  • NPI 1831110469

  Physical Medicine & Rehabilitation

  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1124114079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 STRAUBE CENTER BLVD",
            "address_2": "SUITE 118",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341449",
            "telephone_number": "609-303-1020",
            "fax_number": "609-303-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 STRAUBE CENTER BLVD",
            "address_2": "SUITE 118",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341449",
            "telephone_number": "609-303-0120",
            "fax_number": "609-303-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MA64320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Gonzalez, NP
• Ronald H Gonzalez, MD
• Susane L Gooding, MD
• Paul Matthew Goodman, DMD
• Christine Luda Gordynskiy-Ageyev, PAC
• Peter E Graham, MD
• Sarah Grealy
• Josephine Greenberg
• Richard E. Gregg, M.D.
• Gretel J Lavieri, LCSW LLC

• Physical Medicine & Rehabilitation Physician in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.