Organization Active NPI

Auburn Internal Medicine and Pediatrics, LLC

  • Internal Medicine Physician
  • Auburn, NY
National Provider Identifier
1508816695
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AUBURN INTERNAL MEDICINE AND PEDIATRICS, LLC
Practice address
161 Genesee St
Suite 203
Auburn, NY 13021-2662
Phone
(315) 255-0947
Fax
(315) 255-0942
NPI assigned
May 11, 2006
Last updated
Oct 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Dr. Joseph Graney, MDNPI 1225021892
Title
Owner/Partner
Phone
(315) 255-0947

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

161 Genesee St
Suite 203
Auburn, NY 13021-2662

Mailing address

161 Genesee St
Suite 203
Auburn, NY 13021-3451
Phone (315) 255-0947

Other identifiers 1

IdentifierTypeStateIssuer
02022640MedicaidNY

National Provider Directory

National Provider Directory

Locations

161 Genesee St
Ste 203
Auburn, NY 13021
Phone (315) 255-0947

232 Genesee St
Auburn, NY 13021
Phone (315) 252-5622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1508816695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 GENESEE ST",
            "address_2": "SUITE 203",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213451",
            "telephone_number": "315-255-0947",
            "fax_number": "315-255-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 GENESEE ST",
            "address_2": "SUITE 203",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212662",
            "telephone_number": "315-255-0947",
            "fax_number": "315-255-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN INTERNAL MEDICINE AND PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "GRANEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "315-255-0947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02022640",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.