Individual provider Active NPI

Jenny Ann Graber, MD

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1669614327
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD452097 Issued in PA
Practice address
9807 Bustleton Ave
Philadelphia, PA 19115-3212
Phone
(215) 676-2200
Fax
(215) 676-2408
NPI assigned
Mar 27, 2009
Last updated
Jun 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD452097 PA Primary

Addresses

Primary practice location

9807 Bustleton Ave
Philadelphia, PA 19115-3212

Mailing address

1648 Huntingdon Pike
Medical Staff Office 1St FLR
Meadowbrook, PA 19046-8001
Phone (215) 938-3450

Other practice location 1

910 2nd Street Pike
Richboro, PA 18954-1527
Phone (215) 676-2200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jenny.graber.1@17399.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140821000163 PA Practitioner - Obstetrics/Gynecology 0840425690 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Michigan Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HR Physician ServicesGroup PAC ID 0042109902, 188 clinicians

Practice addresses (Care Compare)

821 Huntingdon Pike
Huntingdon Valley, PA 19006-8371
Phone (215) 676-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services CurrentSince Aug 1, 2020 Accepting new patients
Children's Surgical Associates LTD Current Accepting new patients
HR Physician Services CurrentSince Aug 1, 2020 Accepting new patients
Children's Surgical Associates LTD CurrentSince Jul 1, 2024 Accepting new patients
Children's Surgical Associates LTD CurrentSince Jul 1, 2024 Accepting new patients
HR Physician Services Obstetrics & Gynecology Current Accepting new patients
Main Line Healthcare Obstetrics & Gynecology CurrentSince Jul 21, 2014 Accepting new patients
Childrens Hospital of Philadelphia Past Accepting new patients
HR Physician Services Past Accepting new patients
Children's Surgical Associates LTD Obstetrics & Gynecology Past Accepting new patients

Locations

3300 Tillman Dr
Bensalem, PA 19020
Phone (215) 244-7400

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

821 Huntingdon Pike
Ste 100
Huntingdon Vy, PA 19006
Phone (215) 214-0500

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1648 Huntingdon Pike
Ofc 1ST
Meadowbrook, PA 19046

1650 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 707-7200

1650 Huntingdon Pike
Ste 118
Meadowbrook, PA 19046
Phone (215) 914-2600

1650 Huntingdon Pike
Ste 315
Meadowbrook, PA 19046
Phone (215) 947-2020

1098 W Baltimore Pike
Ste 3106
Media, PA 19063
Phone (610) 891-6240

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

7390 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 268-9480

9807 Bustleton Ave
Philadelphia, PA 19115
Phone (215) 676-2200

910 2nd Street Pike
Richboro, PA 18954
Phone (215) 322-2753

Interoperability endpoints

  • Direct secure messaging: jenny.graber.1@17399.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1669614327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "address_2": "MEDICAL STAFF OFFICE 1ST FLR",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-938-3450",
            "fax_number": "215-938-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9807 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153212",
            "telephone_number": "215-676-2200",
            "fax_number": "215-676-2408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 2nd Street Pike",
            "address_purpose": "LOCATION",
            "city": "Richboro",
            "state": "PA",
            "postal_code": "189541527",
            "country_code": "US",
            "telephone_number": "215-676-2200",
            "fax_number": "215-676-2408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABER",
        "first_name": "JENNY",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD452097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenny.graber.1@17399.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct E-Mail Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "9807 Bustleton Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191153212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.