Individual provider Active NPI

Albert Graziosa, M.D.

  • Orthopaedic Surgery Physician
  • Bronx, NY
National Provider Identifier
1205927498
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
211656-1 Issued in NY
Practice address
3611 E Tremont Ave
Bronx, NY 10465-2009
Phone
(718) 931-0050
Fax
(718) 931-0264
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 211656-1 NY Primary

Addresses

Primary practice location

3611 E Tremont Ave
Bronx, NY 10465-2009

Mailing address

3611 E Tremont Ave
Bronx, NY 10465-2009
Phone (718) 931-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040415001115 NY Practitioner - Orthopedic Surgery 0446245831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Temple University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3611 A E Tremont Ave
Bronx, NY 10465-2009
Phone (718) 931-0050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211656-1NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
1211 WPR Medical Services PC CurrentSince May 26, 2019 Accepting new patients
Siuc Medical PC CurrentSince Mar 23, 2019 Accepting new patients
Albert Graziosa MD PC Orthopaedic Surgery CurrentSince Jan 1, 2006 Accepting new patients

Locations

326 E 149th St
Bronx, NY 10451
Phone (718) 585-6100

1211 White Plains Rd
Bronx, NY 10472
Phone (718) 409-1338

3611 E Tremont Ave
Bronx, NY 10465
Phone (718) 563-0384

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1205927498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652009",
            "telephone_number": "718-931-0050",
            "fax_number": "718-931-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652009",
            "telephone_number": "718-931-0050",
            "fax_number": "718-931-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAZIOSA",
        "first_name": "ALBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "211656-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.