Joseph M Graciano, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4906 Issued in NH

Practice address

10 Members Way
Suite 301
Dover, NH 03820-5933

Phone

(603) 742-3666

Fax

(603) 742-6119

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Wentworth Douglass Physician Corporation

  • Diagnostic Radiology Physician
  • Somersworth, NH
  • NPI 1295326494
  NPD (past)
• Wentworth Douglass Physician Corporation

  dba The Doorway at WD

  • Addiction (Substance Use Disorder) Counselor
  • Dover, NH
  • NPI 1710504683
  NPD (past)
• Wentworth-Douglass Community Dental Center

  • General Practice Dentistry
  • Dover, NH
  • NPI 1295814580
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1669411062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "address_2": "BUSINESS OFFICE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-740-4478",
            "fax_number": "603-740-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEMBERS WAY",
            "address_2": "SUITE 301",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038205933",
            "telephone_number": "603-742-3666",
            "fax_number": "603-742-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIANO",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "4906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280280099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000519",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne C Gould, DPM
• Riley Laurel Goulet, LCSW
• Jaclynne Rose Gowen, PHARMD, BCCP
• Amber Skye Goyette
• Kristen Emma Goyette, RN
• Julianne P Graham, PA
• Granite State Counseling and Assessment, P.L.L.C.
• Granite State Health PLLC
• Emily Grant, MT-BC
• Stephanie Emma Grant, FNP-C

• Internal Medicine Physician in Dover, NH
• Providers in Dover, NH by specialty
• Internal Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.