Individual provider Active NPI

Natalie Rose Graziano, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Bloomfield, NJ
National Provider Identifier
1891402376
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ01392800 Issued in NJ
Practice address
382 W Passaic Ave Ste 3
Bloomfield, NJ 07003-5555
Phone
(973) 338-1900
Fax
(201) 918-3956
NPI assigned
Nov 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ01392800 NJ Primary

Addresses

Primary practice location

382 W Passaic Ave Ste 3
Bloomfield, NJ 07003-5555

Mailing address

66 High St
Clifton, NJ 07014-1235
Phone (973) 901-0210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221220000020 NJ Practitioner - Nurse Practitioner 3577932219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John V Kelly MD PCGroup PAC ID 9638106891, 5 clinicians

Practice addresses (Care Compare)

382 W Passaic Ave
Bloomfield, NJ 07003-5554
Phone (973) 338-1900

Hospital & facility affiliations

  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John V. Kelly MD, PC CurrentSince Nov 2, 2022 Accepting new patients

Locations

382 W Passaic Ave
Ste 3
Bloomfield, NJ 07003
Phone (347) 466-2313

382 W Passaic Ave
Bloomfield, NJ 07003
Phone (973) 338-1383

Organizations & group practices 1

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.

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": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1891402376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 HIGH ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141235",
            "telephone_number": "973-901-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 W PASSAIC AVE STE 3",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035555",
            "telephone_number": "973-338-1900",
            "fax_number": "201-918-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAZIANO",
        "first_name": "NATALIE",
        "middle_name": "ROSE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01392800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.