Organization Active NPI

Albert Graziosa MD PC

  • Orthopaedic Surgery Physician
  • Bronx, NY
National Provider Identifier
1679611545
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
211656 Issued in NY
Legal business name
ALBERT GRAZIOSA MD PC
Practice address
3611 E Tremont Ave
Bronx, NY 10465
Phone
(718) 931-0050
Fax
(718) 931-7019
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Albert Graziosa, MDNPI 1205927498
Title
Orthopedic Surgeon
Phone
(718) 931-0050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 211656 NY Primary

Addresses

Primary practice location

3611 E Tremont Ave
Bronx, NY 10465

Mailing address

3611 E Tremont Ave
Bronx, NY 10465
Phone (718) 931-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070221000120 NY Part B Supplier - Clinic/Group Practice 9335241470 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY
O20131106000272 NY DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9335241470 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1679611545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10465",
            "telephone_number": "718-931-0050",
            "fax_number": "718-931-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10465",
            "telephone_number": "718-931-0050",
            "fax_number": "718-931-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT GRAZIOSA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "GRAZIOSA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "718-931-0050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "211656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.