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Export Provider Record NPI 1104999705
Graciano F. AvendanoM.D.
Active
NPI Number1104999705
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine, Interventional Cardiology
Provider Details
NPI1104999705
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-11-15
Last Updated2007-07-08
Mailing Address465 Cranbury Rd, Suite 201
East Brunswick, NJ 08816-7600
United States
Phone: (732) 613-1988 | Fax: (732) 651-7734
📍 View Map
Primary Practice Address465 Cranbury Rd, Suite 201
East Brunswick, NJ 08816-7600
United States
Phone: (732) 613-1988 | Fax: (732) 651-7734
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207RI0011X – Internal Medicine, Interventional CardiologyNJ25MA05970000
Export Provider Record NPI 1104999705
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About NPI 1104999705

Graciano F. Avendano M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104999705. The primary specialty listed is Internal Medicine, Interventional Cardiology. The provider is located in East Brunswick, NJ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104999705?

NPI 1104999705 belongs to Graciano F. Avendano M.D., a Internal Medicine, Interventional Cardiology in East Brunswick, NJ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104999705 active?

The current status of NPI 1104999705 in the NPPES registry is Active. The record was last updated on 2007-07-08.

What specialty is NPI 1104999705?

NPI 1104999705 is classified under the taxonomy Internal Medicine, Interventional Cardiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104999705?

You can verify NPI 1104999705 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104999705?

The primary practice address on file for NPI 1104999705 is 465 Cranbury Rd, East Brunswick, NJ 08816-7600. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104999705 issued?

NPI 1104999705 was first issued (enumerated) on 2006-11-15. The NPPES record was last updated on 2007-07-08.

Practice Location Map

Graciano F. Avendano is located at 465 Cranbury Rd, East Brunswick, NJ. Use the map below to find directions or verify the practice location.

📍 465 Cranbury Rd, East Brunswick, NJ 08816-7600  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Graciano F. Avendano. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104999705. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine, Interventional Cardiology25MA05970000NJ
Data Verified from CMS NPPES Last synced: 2026-06-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162