MICHELLE EJIOFOR
NPI 1942586292
Physician Assistant - Surgical in Brockton, MA

Active since November 01, 2011
680 CENTRE ST, BROCKTON, MA 02302(717) 222-8138 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2021, Mar 12, 2020 (2 updates tracked since 2020).

About Michelle Ejiofor NPPES

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

MICHELLE EJIOFOR (NPI 1942586292) is an individual surgical provider in Brockton, Massachusetts, licensed in Massachusetts (PA4550) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1942586292
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMICHELLE EJIOFOR
Location Address680 CENTRE STBrockton, MA 02302-3308
Mailing Address110 Liberty StBrockton, MA 02301-5674 · (508) 565-3055
Sole ProprietorNo
Enumeration DateNovember 1, 2011
Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
NPI 1942586292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MA · PA4550
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License C0004561 (MD)
680 CENTRE ST, Brockton, MA 02302

Other Names 1

Former Name (1)Michelle Graeff

Other Providers at the Same Location NPPES 20

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

Internal Medicine
680 CENTRE ST, MANAGED CARE
BROCKTON, MA 02302
Physician Assistant
680 CENTRE ST
BROCKTON, MA 02302
Counselor (Mental Health)
680 CENTRE ST
BROCKTON, MA 02302
Psychiatry & Neurology (Psychiatry)
680 CENTRE ST
BROCKTON, MA 02302
Student in an Organized Health Care Education/Training Program
680 CENTRE ST
BROCKTON, MA 02302
Pathology (Anatomic Pathology & Clinical Pathology)
680 CENTRE ST, PATHOLOGY DEPARTMENT
BROCKTON, MA 02302
Psychiatry & Neurology (Psychiatry)
680 CENTRE ST
BROCKTON, MA 02302
Social Worker
680 CENTRE ST
BROCKTON, MA 02302

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 Michelle Ejiofor's NPI number?

The NPI number for Michelle Ejiofor is 1942586292. It was assigned to this individual provider in the NPPES registry on November 1, 2011. The provider is also known as Michelle Graeff.

Where is Michelle Ejiofor located?

Michelle Ejiofor practices at 680 Centre St, Brockton, MA 02302. The listed phone number is (717) 222-8138.

What is Michelle Ejiofor's specialty?

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

When was this NPI record last updated?

The NPPES record for Michelle Ejiofor was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.