Active NPIIndividual provider

Jay A Graves, MD

Family Medicine in Old Lyme, Connecticut

NPI Number1083771745
Practice location
19 Halls RD, Old Lyme, CT 06371-1457
Fax
—
Last updated
November 16, 2009

Jay Allan Graves is a Family Medicine based in Old Lyme, CT. Jay Allan Graves practices in Old Lyme, CT and has the professional credentials of MD. The NPI Number for Jay Allan Graves is 1083771745 and holds a License No. 020499 (CT). The current practice location address for Jay Allan Graves is 19 Halls RD, Old Lyme, CT 06371-1457 and can be reached out via phone at 860-434-8300.

Provider Profile Details

NPI Number
1083771745
Provider Name
Jay Allan Graves
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
19 Halls RD, Old Lyme, CT 06371-1457
Phone Number
860-434-8300
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
January 2, 2007
Last Update Date
November 16, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Halls RD
Old Lyme, CT 06371-1457
Zip
06371-1457
Phone Number
860-434-8300
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
19 Halls RD
Old Lyme, CT 06371-1457
City
Old Lyme
State
CT
Zip
06371-1457
Phone Number
860-434-8300

License Information

License Number
020499
License State
CT
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jay A Graves, MD?

The NPI number of Jay A Graves, MD is 1083771745. It was assigned on January 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Jay A Graves, MD?

Jay A Graves, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 020499.

Where does Jay A Graves, MD practice?

The practice location is 19 Halls RD, Old Lyme, CT 06371-1457. The office can be reached at 860-434-8300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083771745 directly on the NPPES registry website.

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