NOLLE L GRAHAM PHYSICIAN ASSISTANT
NPI 1730698747
Physician Assistant - Surgical in New York, NY

Q: What is Nolle Graham's NPI number?

The NPI number for Nolle Graham is 1730698747. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Q: What is Nolle Graham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Nolle Graham was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 21, 2017PECOS Enrolled

EAST 101 STREET, NEW YORK, NY 10029(212) 241-6500 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2020, Sep 21, 2017 (2 updates tracked since 2017).

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About Nolle L Graham Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOLLE L GRAHAM PHYSICIAN ASSISTANT (NPI 1730698747) is an individual surgical provider in New York, New York, licensed in New York (021554) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730698747

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameNOLLE L GRAHAMCredential: PHYSICIAN ASSISTANT

Location AddressEAST 101 STREETNew York, NY 10029

Mailing Address1505 Teller Ave Apt 1Bronx, NY 10457-8704 · (914) 382-6503

Phone(212) 241-6500

Sole ProprietorNo

Enumeration DateSeptember 21, 2017

Last NPPES UpdateJanuary 14, 20202 updates tracked since enumeration

✔ NPI 1730698747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NY · 021554

EAST 101 STREET, New York, NY 10029

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nolle L Graham Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nolle Graham's NPI number?

The NPI number for Nolle Graham is 1730698747. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Where is Nolle Graham located?

Nolle Graham practices at East 101 Street, New York, NY 10029. The listed phone number is (212) 241-6500.

What is Nolle Graham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nolle Graham enrolled in Medicare?

Yes. Nolle Graham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nolle Graham was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.