Individual provider Active NPI

April Danielle Graham, D.O.

  • Pediatrics Physician
  • Metuchen, NJ
National Provider Identifier
1144588674
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB09104200 Issued in NJ
Practice address
45 Pearl St
Metuchen, NJ 08840-1832
Phone
(732) 590-6100
Fax
(732) 590-6100
NPI assigned
May 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MB09104200 NJ Primary

Addresses

Primary practice location

45 Pearl St
Metuchen, NJ 08840-1832

Mailing address

465 South Street
Suite 103
Morristown, MA 07050-2737
Phone (973) 829-4080

Other practice location 1

651 High St
Burlington, NJ 08016-2737
Phone (609) 386-0775

Other identifiers 1

IdentifierTypeStateIssuer
0299197MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120907000298 NJ Practitioner - Pediatric Medicine 8325296866 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Dec 18, 2019 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Dec 18, 2019 Accepting new patients
Practice Associates Medical Group Pediatrics CurrentSince Jun 3, 2024 Accepting new patients

Locations

300B Princeton Hightstown Rd
Ste 201
East Windsor, NJ 08520
Phone (609) 448-7300

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

45 Pearl St
Metuchen, NJ 08840
Phone (732) 516-0089

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1144588674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SOUTH STREET",
            "address_2": "SUITE 103",
            "city": "MORRISTOWN",
            "state": "MA",
            "postal_code": "070502737",
            "telephone_number": "973-829-4080",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PEARL ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401832",
            "telephone_number": "732-590-6100",
            "fax_number": "732-590-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 High St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NJ",
            "postal_code": "080162737",
            "country_code": "US",
            "telephone_number": "609-386-0775",
            "fax_number": "609-386-4372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "APRIL",
        "middle_name": "DANIELLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB09104200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0299197",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

Verify at the official NPI Registry.