NPIMap

Organization Active NPI

Graham Windham

  • Voluntary or Charitable Agency
  • Brooklyn, NY
National Provider Identifier
1891837944
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
GRAHAM WINDHAM
Doing business as
Graham Windham
Practice address
1 Pierrepont PLZ
Suite 901
Brooklyn, NY 11201-2790
Phone
(212) 529-6445
Fax
(212) 260-2147
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Mr. Basil Webster
Title
Cfo
Phone
(212) 529-6445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1 Pierrepont PLZ
Suite 901
Brooklyn, NY 11201-2790

Mailing address

1 Pierrepont PLZ
Suite 901
Brooklyn, NY 11201-2790
Phone (212) 529-6445

Other identifiers 4

IdentifierTypeStateIssuer
00327995MedicaidNY
03036775MedicaidNY
00698673MedicaidNY
02997877MedicaidNY

Other names 1

  • GRAHAM WINDHAM Doing business as

National Provider Directory

National Provider Directory

Locations

300 Cadman Plz W
Ste 901
Brooklyn, NY 11201
Phone (212) 529-6445

274 W 145th St
New York, NY 10039
Phone (212) 368-4100

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1891837944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PIERREPONT PLZ",
            "address_2": "SUITE 901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012790",
            "telephone_number": "212-529-6445",
            "fax_number": "212-260-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PIERREPONT PLZ",
            "address_2": "SUITE 901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012790",
            "telephone_number": "212-529-6445",
            "fax_number": "212-260-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM WINDHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "BASIL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "212-529-6445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00327995",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03036775",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00698673",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02997877",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAHAM WINDHAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.