Individual provider Active NPI

John Joseph Graeber, DMD

  • General Practice Dentistry
  • East Hanover, NJ
National Provider Identifier
1316165830
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
09438 Issued in NJ
Practice address
470 Ridgedale Ave
East Hanover, NJ 07936-3074
Phone
(973) 884-1046
Fax
(973) 884-0498
NPI assigned
Apr 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 09438 NJ Primary

Addresses

Primary practice location

470 Ridgedale Ave
East Hanover, NJ 07936-3074

Mailing address

4 Concord Rd
Whippany, NJ 07981-2205
Phone (973) 884-9574

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150826002252 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8628012952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
09438NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John J. Graeber DMD (PA) General Practice PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316165830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CONCORD RD",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079812205",
            "telephone_number": "973-884-9574",
            "fax_number": "973-884-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 RIDGEDALE AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363074",
            "telephone_number": "973-884-1046",
            "fax_number": "973-884-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAEBER",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "09438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

Verify at the official NPI Registry.