Anne-Marie Gizelle Gracia, M.D., MPH

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

MA58440 Issued in NJ

Practice address

59 Main St
Suite 204
West Orange, NJ 07052-5341

Phone

(973) 243-0220

Fax

(973) 243-2441

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anne-marie.gracia@drgraciaoffice.cernerdirect.com

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.

• Gizelle Manoah, PC, Inc

  • Clinic/Center
  • West Orange, NJ
  • NPI 1225394075
  NPD Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1447328018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3122",
            "address_2": "MEMORIAL STATION",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070433122",
            "telephone_number": "973-243-0220",
            "fax_number": "973-243-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MAIN ST",
            "address_2": "SUITE 204",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525341",
            "telephone_number": "973-243-0220",
            "fax_number": "973-243-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIA",
        "first_name": "ANNE-MARIE",
        "middle_name": "GIZELLE",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MA58440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6560610",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miriam Leiba Gordon, OT
• Petra Gordos
• Nicole Anne Gore
• Brandon Evan Gorny, OTR/L
• Dana Tarese Goss, MA BCBA
• Graham Pinnock Services LLC
• Syndi Lyn Granger, OTR/L
• Christina Granquist, D.P.T.
• Michael Anthony Grasso, MD
• Carol Tomaz Gray, LCSW

• Geriatric Medicine (Internal Medicine) Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Geriatric Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.