Individual provider Active NPI

Graciano Evans Clause Jr., RPA

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1295031599
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004907 Issued in NY
Practice address
1354 Pennsylvania Ave
Brooklyn, NY 11239-2111
Phone
(718) 212-2273
Fax
(347) 919-5554
NPI assigned
Feb 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 004907 NY
Physician Assistant 363A00000X 004907 NY Primary

Addresses

Primary practice location

1354 Pennsylvania Ave
Brooklyn, NY 11239-2111

Mailing address

1354 Pennsylvania Ave
Brooklyn, NY 11239-2111
Phone (718) 212-2273

Other practice location 1

70 Lee Ave
Brooklyn, NY 11211-1874
Phone (718) 408-8877

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131216001182 NY Practitioner - Physician Assistant 0749427391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W Medical LLCGroup PAC ID 2466896063, 4 clinicians

Practice addresses (Care Compare)

70 Lee Ave
Brooklyn, NY 11211-1874
Phone (718) 387-0185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
W Medical LLC CurrentSince Dec 14, 2025 Accepting new patients
Union Medical Care, PLLC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • 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": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1295031599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 PENNSYLVANIA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392111",
            "telephone_number": "718-212-2273",
            "fax_number": "347-919-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 PENNSYLVANIA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392111",
            "telephone_number": "718-212-2273",
            "fax_number": "347-919-5554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Lee Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112111874",
            "country_code": "US",
            "telephone_number": "718-408-8877",
            "fax_number": "718-782-0383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAUSE",
        "first_name": "GRACIANO",
        "middle_name": "EVANS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-03",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "004907",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.