Alexis Leibel Granite, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

233213 Issued in NY

Practice address

32 Ericsson Place
Tribeca Park Dermatology
New York, NY 10013

Phone

(212) 374-9750

Fax

(212) 374-9705

NPI assigned

Jun 8, 2007

Last updated

Oct 19, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Alexis Camille Leibel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paru Chaudhari MD PLLC

  • Specialist
  • New York, NY
  • NPI 1316288319
  NPD (past)
• Sherwin K Parikh MD PC

  dba Tribeca Skin Center

  • Dermatology Physician
  • New York, NY
  • NPI 1891940946
  NPD (past)

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1306049952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 ERICSSON PLACE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10013",
            "telephone_number": "212-374-9750",
            "fax_number": "212-374-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 ERICSSON PLACE",
            "address_2": "TRIBECA PARK DERMATOLOGY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10013",
            "telephone_number": "212-374-9750",
            "fax_number": "212-374-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANITE",
        "first_name": "ALEXIS",
        "middle_name": "LEIBEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "233213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "LEIBEL",
            "middle_name": "CAMILLE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Batsheva Granek
• Leah Wilson Granger, PT, DPT
• Evelyn Carmela Granieri, M.D.
• Joel Granik, LAC
• Paige Graning
• Hannah Grannis
• Amanda Arielle Grannum, LMSW
• Madeleine Granovetter
• Michael Colin Granovetter, MD PHD
• Felix Granovskiy, MD

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.