Martin I Granoff MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

211787 Issued in NY

Legal business name

MARTIN I GRANOFF MD PC

Practice address

554 Larkfield Road
Sutie 105
East Northport, NY 11731

Phone

(631) 369-3800

Fax

(631) 368-3802

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Martin Irving Granoff, MDNPI 1326078916

Title

Physician

Phone

(631) 369-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin I Granoff, MD

  • Obstetrics & Gynecology Physician
  • East Northport, NY
  • NPI 1326078916
  Medicare reassignment Care Compare group Authorized official
• Chau H Lee, DO

  • Obstetrics & Gynecology Physician
  • East Northport, NY
  • NPI 1407814080
  Medicare reassignment Care Compare group
• Mary G. Lopez, NP

  • Women's Health Nurse Practitioner
  • East Northport, NY
  • NPI 1376701821
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1104936061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 899",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117310526",
            "telephone_number": "631-369-3800",
            "fax_number": "631-368-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 LARKFIELD ROAD",
            "address_2": "SUTIE 105",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "11731",
            "telephone_number": "631-369-3800",
            "fax_number": "631-368-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN I GRANOFF MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "GRANOFF",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "IRVING",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "631-369-3800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "211787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02169033",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Mary Malloy-Buonanno, O.T.
• Amanda Manfredo, PHARMD
• Marconi Integrative Therapy, LCSW PLLC
• Melissa Marconi
• Gina Marie Marion
• Camille Martin
• Lisdalia R Martins
• Matthew Masciandaro, DPT FMT
• Raymond Alfred Mascolo, DDS
• Erika Massa, BSN

• Obstetrics & Gynecology Physician in East Northport, NY
• Providers in East Northport, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.