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NICOLE GRAHAM
NPI 1871248948
Peer Specialist in Newark, NJ

Active since February 17, 2022
1091 BROAD STREET, NEWARK, NJ 07114(973) 623-0600 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Graham NPPES

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

NICOLE GRAHAM (NPI 1871248948) is an individual peer specialist in Newark, New Jersey and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1871248948
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameNICOLE GRAHAM
Location Address1091 BROAD STREETNewark, NJ 07114
Mailing Address103 Lincoln ParkNewark, NJ 07102-2391 · (973) 623-0600
Phone(973) 623-0600
Sole ProprietorYes
Enumeration DateFebruary 17, 2022
NPPES CertifiedFebruary 3, 2022
✔ NPI 1871248948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1091 BROAD STREET, Newark, NJ 07114
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EBONY Y WALKER-CHERILUS MA, LAC
Counselor (Mental Health)
1091 BROAD STREET
NEWARK, NJ 07114
Essex County (862) 343-0118

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 Nicole Graham's NPI number?

The NPI number for Nicole Graham is 1871248948. It was assigned to this individual provider in the NPPES registry on February 17, 2022.

Where is Nicole Graham located?

Nicole Graham practices at 1091 Broad Street, Newark, NJ 07114. The listed phone number is (973) 623-0600.

What is Nicole Graham's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Nicole Graham was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.