Active NPIIndividual providerSole proprietor

Nicole Graham

Peer Specialist in Newark, New Jersey

NPI Number1871248948
Practice location
1091 Broad Street, Newark, NJ 07114
Fax
—
Last updated
February 17, 2022

Nicole Graham is a Peer Specialist based in Newark, NJ. Nicole Graham practices in Newark, NJ. The NPI Number for Nicole Graham is 1871248948. The current practice location address for Nicole Graham is 1091 Broad Street, Newark, NJ 07114 and can be reached out via phone at 973-623-0600.

Provider Profile Details

NPI Number
1871248948
Provider Name
Nicole Graham
Provider Entity Type
Individual
Gender
Female
Address
1091 Broad Street, Newark, NJ 07114
Phone Number
973-623-0600
Primary Taxonomy
Peer Specialist · 175T00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 17, 2022
Last Update Date
February 17, 2022
Certification Date
February 3, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1091 Broad Street
Newark, NJ 07114
City
Newark
Zip
07114
Phone Number
973-623-0600
Newark, NJ 07114Get directions →

Provider Business Mailing Address Details

Address
103 Lincoln Park
Newark, NJ 07102-2391
City
Newark
State
NJ
Zip
07102-2391
Phone Number
973-623-0600

License Information

Taxonomy
Peer Specialist · 175T00000X · 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 Nicole Graham?

The NPI number of Nicole Graham is 1871248948. It was assigned on February 17, 2022 and is currently active in the NPPES registry.

What is the specialty of Nicole Graham?

Nicole Graham is registered under the primary taxonomy Peer Specialist (code 175T00000X).

Where does Nicole Graham practice?

The practice location is 1091 Broad Street, Newark, NJ 07114. The office can be reached at 973-623-0600 (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 1871248948 directly on the NPPES registry website.

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