Emmy M Graber, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

230993 Issued in MA

Practice address

441 Stuart St
4TH FL Ste 404
Boston, MA 02116-5019

Phone

(857) 317-2057

Fax

(857) 317-2811

NPI assigned

Apr 6, 2007

Last updated

Jan 19, 2016By the provider in NPPES

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• South Boston Community Health Center

  • Community Health Clinic/Center
  • South Boston, MA
  • NPI 1669447413
  Medicare reassignment NPD
• Dermatology Institute of Boston PC

  • Dermatology Physician
  • Boston, MA
  • NPI 1225407406
  Authorized official Same address or phone
• Evans Medical Foundation, Inc.

  dba Boston University Internal Medicine Associates

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1912954124
  NPD (past)
• Skincare Physicians St Elizabeths Inc

  • Dermatology Physician
  • Chestnut Hill, MA
  • NPI 1639499676
  NPD (past)
• Skincarephysicians

  • Dermatology Physician
  • Chestnut Hill, MA
  • NPI 1699005173
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1245353366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 STUART ST",
            "address_2": "4TH FL STE 404",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165019",
            "telephone_number": "857-317-2057",
            "fax_number": "857-317-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 STUART ST",
            "address_2": "4TH FL STE 404",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165019",
            "telephone_number": "857-317-2057",
            "fax_number": "857-317-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABER",
        "first_name": "EMMY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "230993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110085121A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "S400269001",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anirudh Goyal, MD
• Nitender Goyal, M.D
• Riya Goyal, MD
• Piero Christopher Goytizolo
• Glynis Gozigian Wood, LICSW
• Kerri Ann Graber, DPT
• Meaghann Ashley Graber, RN
• Eric Franklin Grabowski, MD SCD
• Kathleen S Grabowski, M.S.
• Matthew Jude Grabowski, PA

• Dermatology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.