Organization Active NPI

Robert C. Graber D.M.D., P.a.

  • Dental Clinic/Center
  • Rutherford, NJ
National Provider Identifier
1467644963
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22D101273300 Issued in NJ
Legal business name
ROBERT C. GRABER D.M.D., P.A.
Practice address
135 Union Ave
Rutherford, NJ 07070-1564
Phone
(201) 438-2373
Fax
(201) 438-5875
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Dr. Robert Ceris Graber, D.M.D.NPI 1306058870
Title
Owner
Phone
(201) 438-2373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22D101273300 NJ Primary

Addresses

Primary practice location

135 Union Ave
Rutherford, NJ 07070-1564

Mailing address

135 Union Ave
Rutherford, NJ 07070-1564
Phone (201) 438-2373

National Provider Directory

National Provider Directory

Locations

135 Union Ave
Rutherford, NJ 07070
Phone (201) 438-2373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1467644963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 UNION AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701564",
            "telephone_number": "201-438-2373",
            "fax_number": "201-438-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 UNION AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701564",
            "telephone_number": "201-438-2373",
            "fax_number": "201-438-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C. GRABER D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "GRABER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CERIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-438-2373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22D101273300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.