Active NPIIndividual provider

Jay Graham, MD

Surgery in Newark, New Jersey

NPI Number1932116530
Practice location
140 Bergen St, Newark, NJ 07103-2425
Fax
—
Last updated
September 30, 2025

Jay Graham is a Surgery based in Newark, NJ. Jay Graham practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Jay Graham is 1932116530 and holds a License No. 228086 (MA). The current practice location address for Jay Graham is 140 Bergen St, Newark, NJ 07103-2425 and can be reached out via phone at 646-832-0904.

Provider Profile Details

NPI Number
1932116530
Provider Name
Jay Graham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
140 Bergen St, Newark, NJ 07103-2425
Phone Number
646-832-0904
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
August 3, 2006
Last Update Date
September 30, 2025
Certification Date
September 30, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Bergen St
Newark, NJ 07103-2425
City
Newark
Zip
07103-2425
Phone Number
646-832-0904
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
140 Bergen St
Newark, NJ 07103-2425
City
Newark
State
NJ
Zip
07103-2425
Phone Number
646-832-0904

License Information

License Number (1)
228086
License State (1)
MA
Taxonomy (1)
Surgery · 208600000X
License Number (2)
25MA12788700
License State (2)
NJ
Taxonomy (2)
Surgery · 208600000X · Primary
License Number (3)
265290
License State (3)
NY
Taxonomy (3)
Surgery · 208600000X
License Number (4)
25MA12788700
License State (4)
NJ
Taxonomy (4)
Transplant Surgery · 204F00000X

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 Graham, MD?

The NPI number of Jay Graham, MD is 1932116530. It was assigned on August 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Jay Graham, MD?

Jay Graham, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in MA under license number 228086.

Where does Jay Graham, MD practice?

The practice location is 140 Bergen St, Newark, NJ 07103-2425. The office can be reached at 646-832-0904 (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 1932116530 directly on the NPPES registry website.

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