Individual provider Active NPI

Craig Benjamin Graceffo, MAC.

  • Acupuncturist
  • Ocean, NJ
National Provider Identifier
1912594946
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00150000 Issued in NJ
Practice address
2116 Sunset Ave
Ocean, NJ 07712-4672
Phone
(732) 414-9423
NPI assigned
Dec 23, 2020
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00150000 NJ Primary

Addresses

Primary practice location

2116 Sunset Ave
Ocean, NJ 07712-4672

Mailing address

3 Westwood Dr
Lincroft, NJ 07738-1408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MZ00150000NJMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1912594946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WESTWOOD DR",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 SUNSET AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124672",
            "telephone_number": "732-414-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACEFFO",
        "first_name": "CRAIG",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "MAC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00150000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.