Graves Derma Care Center PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

GRAVES DERMA CARE CENTER PC

Practice address

1020 Kings Hwy N
Suite 101
Cherry Hill, NJ 08034-1906

Phone

(856) 321-0001

NPI assigned

May 24, 2007

Last updated

Apr 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vaughan C Graves, M.D.

Title

President

Phone

(215) 879-2389

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1265643357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 FORD RD",
            "address_2": "SUITE C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312039",
            "telephone_number": "215-879-2389",
            "fax_number": "215-879-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 KINGS HWY N",
            "address_2": "SUITE 101",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341906",
            "telephone_number": "856-321-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAVES DERMA CARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "VAUGHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-879-2389",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Gramajo
• Gramercy Operating Co, Inc. (Gramercy Park Nursing Center)
• Alison Therese Grant, M.D.
• Ava Marie Grashorn
• Elizabeth Anne Gravallese-Anderson, PSY.D.
• Joy Elizabeth Graves-Jacobs, MS OTR/L
• Christine Irene Graves, NP
• Billie A. Gray, RPT
• Jillian Leeann Gray, LAC
• Linda M Graziano, MD

• Dermatology Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.