Individual provider Active NPI

Stuart Graber, D.D.S.

  • General Practice Dentistry
  • Yorktown Heights, NY
National Provider Identifier
1528280948
Registry record updated Sep 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
030324 Issued in NY
Practice address
3505 Hill Blvd
Yorktown Heights, NY 10598-1283
Phone
(914) 245-3103
NPI assigned
May 3, 2007
Last updated
Sep 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2009

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 030324 NY Primary

Addresses

Primary practice location

3505 Hill Blvd
Yorktown Heights, NY 10598-1283

Mailing address

631 Long Ridge Rd
Unit 23
Stamford, CT 06902-1258
Phone (914) 391-5251

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211013001387 NY Practitioner - Dentist 0547507956 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Aug 13, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Aug 13, 2021 Accepting new patients

Locations

3332 Rochambeau Ave
Bronx, NY 10467
Phone (718) 920-5520

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252800000000",
    "number": "1528280948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 LONG RIDGE RD",
            "address_2": "UNIT 23",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021258",
            "telephone_number": "914-391-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 HILL BLVD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981283",
            "telephone_number": "914-245-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABER",
        "first_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "030324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

Verify at the official NPI Registry.