Organization Active NPI

Golding Granado Medical Associates

  • Internal Medicine Physician
  • Shrewsbury, NJ
National Provider Identifier
1427243443
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GOLDING GRANADO MEDICAL ASSOCIATES
Practice address
Golding Granado Medical Associates
179 Avenue at the Commons Suite 101
Shrewsbury, NJ 07702
Phone
(732) 380-6010
Fax
(732) 380-6012
NPI assigned
Sep 12, 2007
Last updated
May 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Dr. Lisa M Golding-Granado, MDNPI 1538163928
Title
Owner
Phone
(732) 380-6010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X NJ
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X NJ Primary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Sports Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0010X

Addresses

Primary practice location

Golding Granado Medical Associates
179 Avenue at the Commons Suite 101
Shrewsbury, NJ 07702

Mailing address

179 Avenue at the Commons
Suite 101
Shrewsbury, NJ 07702
Phone (732) 380-6010

Other identifiers 1

IdentifierTypeStateIssuer
8254605MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071112000132 NJ Part B Supplier - Clinic/Group Practice 6507953106 Receives reassigned benefits from 5 practitioners
Practice locations: Toms River, NJ; Shrewsbury, NJ; Holmdel, NJ; Hazlet, NJ; Edison, NJ; East Windsor, NJ

National Provider Directory

National Provider Directory

Locations

319 Route 130
Ste 1
East Windsor, NJ 08520
Phone (609) 426-4300

561 US Highway 1
Ste E3E4
Edison, NJ 08817
Phone (732) 944-0950

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

101 Crawfords Corner Rd
Ste 1116B
Holmdel, NJ 07733
Phone (212) 227-9655

46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100

179 Avenue At the Cmn
Shrewsbury, NJ 07702
Phone (732) 460-9889

179 Avenue At the Cmn
Ste 101
Shrewsbury, NJ 07702
Phone (732) 380-6010

1 Route 37 W
Ste 1
Toms River, NJ 08753
Phone (732) 281-3201

Practitioners & affiliated clinicians

Practitioners 159

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 159

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1427243443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 AVENUE AT THE COMMONS",
            "address_2": "SUITE 101",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "07702",
            "telephone_number": "732-380-6010",
            "fax_number": "732-380-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GOLDING GRANADO MEDICAL ASSOCIATES",
            "address_2": "179 AVENUE AT THE COMMONS SUITE 101",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "07702",
            "telephone_number": "732-380-6010",
            "fax_number": "732-380-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDING GRANADO MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "GOLDING-GRANADO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-380-6010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8254605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.