Travis R Graff

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

529 Courtlandt Ave
Bronx, NY 10451-5007

Phone

(718) 402-2150

NPI assigned

Jan 9, 2019

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1124591383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 E 29TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102927",
            "telephone_number": "718-859-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 COURTLANDT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515007",
            "telephone_number": "718-402-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "858 E 29th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112102927",
            "country_code": "US",
            "telephone_number": "718-859-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAFF",
        "first_name": "TRAVIS",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracelife Family Health NP PC
• Alex Gracia, MD
• Philome J.H. Gracia, M.D.
• Graciebrutus Pharmacy Inc.
• Ageserin Gradney
• Enkela Gragjevi, PHARMD
• Aldith Leonie Graham-Dixon, LPN
• Latoya Kay-Ann Graham-Joseph
• Regina Graham-Syphertt, MD
• Audline Graham, RN

• Community Health Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Community Health Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.