Individual provider Active NPI

Jay Graham, M.D.

  • Surgery Physician
  • Newark, NJ
National Provider Identifier
1932116530
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA12788700 Issued in NJ
Practice address
140 Bergen St
Newark, NJ 07103-2425
Phone
(646) 832-0904
NPI assigned
Aug 3, 2006
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 228086 MA
Surgery Physician 208600000X 25MA12788700 NJ Primary
Surgery Physician 208600000X 265290 NY
Transplant Surgery Physician 204F00000X 25MA12788700 NJ

Addresses

Primary practice location

140 Bergen St
Newark, NJ 07103-2425

Mailing address

140 Bergen St
Newark, NJ 07103-2425
Phone (646) 832-0904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120809000094 NY Practitioner - General Surgery 2365440906 Reassigns benefits to 1 organization
I20251124003602 NJ Practitioner - General Surgery 2365440906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

30 Bergen St
Newark, NJ 07107-3000
Phone (973) 972-0037

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265290NYMDLicensed Practical Nurse
25MA12788700NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Surgery CurrentSince Jul 25, 2014 Accepting new patients
Montefiore Medical Center CurrentSince Jul 25, 2014 Accepting new patients
University Physician Associates of New Jersey Inc Transplant Surgery CurrentSince Oct 1, 2025 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Oct 1, 2025 Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients
The Trustees of Columbia University in the City of New York Transplant Surgery Past Accepting new patients
University Physician Associates of New Jersey Inc Past Accepting new patients
Jordan Physician Associates, Inc. Surgery Past Accepting new patients
Trustees of Columbia University in the City of New York Transplant Surgery Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

140 Bergen St
Newark, NJ 07103
Phone (973) 972-0320

140 Bergen St
#E1650
Newark, NJ 07103
Phone (973) 972-7218

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

111 E 210th St
Bronx, NY 10467

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

622 W 168th St
Ph 14C
New York, NY 10032

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1932116530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "646-832-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "646-832-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "228086",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA12788700",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "265290",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NJ",
            "license": "25MA12788700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.