Martin I Granoff, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

211787-1 Issued in NY

Practice address

554 Larkfield Rd
East Northport, NY 11731-4205

Phone

(631) 368-3800

NPI assigned

Jul 3, 2006

Last updated

Dec 7, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

State University of New York at Stony Brook, School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Martin I Granoff MD PCGroup PAC ID 0648248666, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Martin I Granoff MD PC

  • Obstetrics & Gynecology Physician
  • East Northport, NY
  • NPI 1104936061
  Medicare reassignment Care Compare group Authorized official
• J. Gerald Meagher MD PC

  • Obstetrics & Gynecology Physician
  • Greenlawn, NY
  • NPI 1093968000
  NPD (past)
• Nassau Health Care Corporation

  dba Nassau University Medical Center

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1801857172
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1326078916",
    "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": "631-368-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 LARKFIELD RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314205",
            "telephone_number": "631-368-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANOFF",
        "first_name": "MARTIN",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "211787-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glow Wellness Care Medical PLLC
• Theodore Lyle Goldman, M.D.
• Miaomiao Gong
• Diane L. Gorenstein, LCSW
• Dianna R Gott, LCSW
• Johanna Grant, M.S. CCC-SLP
• Nicole L Grimaldi, DPT
• Thomas Michael Gruhn
• Dawn Crystal Gudmundsen
• Abigail Guerrier

• 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; Order and Referring.
• 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.