Active NPI
Anthony James Graceffo, M.D.
- Internal Medicine Physician
- Auburn, NY
National Provider Identifier
1639420599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 145935-1
- Practice address
- 17 E Genesee St
Suite #303
Auburn, NY 13021-4040 - Phone
- (315) 253-1850
- Fax
- (315) 253-1859
- NPI assigned
- Oct 1, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 145935-1 | NY | Primary |
Addresses
Primary practice location
17 E Genesee St
Suite #303
Auburn, NY 13021-4040
Mailing address
17 Lansing St
Credentialing Coordinator
Auburn, NY 13021-1983
Phone (315) 255-7438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145935-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Memorial Medical Services, PC | Past | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Internal Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
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- Orthopaedic Surgery Physician
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- NPI 1194913749
Internal Medicine
-
- Foot & Ankle Surgery Podiatrist
- Auburn, NY
- NPI 1467151852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1639420599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 LANSING ST",
"address_2": "CREDENTIALING COORDINATOR",
"city": "AUBURN",
"state": "NY",
"postal_code": "130211983",
"telephone_number": "315-255-7438",
"fax_number": "315-255-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E GENESEE ST",
"address_2": "SUITE #303",
"city": "AUBURN",
"state": "NY",
"postal_code": "130214040",
"telephone_number": "315-253-1850",
"fax_number": "315-253-1859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACEFFO",
"first_name": "ANTHONY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-01",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "145935-1",
"primary": true
}
],
"identifiers": [],
"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 Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.