Jennifer Graham, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

228849 Issued in NY

Practice address

22 Red Jacket St
Dansville, NY 14437-9502

Phone

(585) 335-5200

Fax

(585) 335-5037

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HDBAAA
• Direct secure messaging: jennifer.graham@sbpeds.eclinicaldirectplus.com

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.

• Nicholas H. Noyes Memorial Hospital

  • General Acute Care Hospital
  • Dansville, NY
  • NPI 1982625661
  NPD (past)
• Stony Brook Pediatrics, PC

  • Pediatrics Physician
  • Dansville, NY
  • NPI 1841364288
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1932159332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 RED JACKET ST",
            "address_2": "PO BOX 499",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379502",
            "telephone_number": "585-335-5200",
            "fax_number": "585-335-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 RED JACKET ST",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379502",
            "telephone_number": "585-335-5200",
            "fax_number": "585-335-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02462788",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Gee
• Francis William Gendreau, MA
• Genesee Valley Cardiology PLLC
• Valerie Marie Germain
• Mia Gilman
• Kenneth P Gray, P.T.A.
• Lynette M Greene, LCSW
• Carrie E Greig, FNP
• Holly Ann Greiner, FNP
• Lisa Grove

• Family Medicine Physician in Dansville, NY
• Providers in Dansville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.