Individual provider Active NPI

Linda Granowetter, M.D.

  • Pediatric Hematology & Oncology Physician
  • New York, NY
National Provider Identifier
1437123247
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
1721044 Issued in NY
Practice address
160 East 32ND Street
Hassenfeld Center L3
New York, NY 10016
Phone
(212) 263-9660
Fax
(212) 263-8410
NPI assigned
Feb 16, 2006
Last updated
Oct 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 1721044 NY Primary

Addresses

Primary practice location

160 East 32ND Street
Hassenfeld Center L3
New York, NY 10016

Mailing address

160 East 32ND Street
Hassenfeld Center L3
New York, NY 10016
Phone (212) 263-9660

Other identifiers 1

IdentifierTypeStateIssuer
01052639MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050525000574 NY Practitioner - Pediatric MedicinePractitioner - Hematology/OncologyPractitioner - Hematology 7517909047 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1721044NYMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince May 11, 2009 Accepting new patients

Locations

160 E 32nd St
#2
New York, NY 10016
Phone (212) 263-5940

160 E 32nd St
#L3
New York, NY 10016
Phone (212) 263-5940

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

111 Broadway
Fl 2
Trinity, NY 10006
Phone (212) 263-9700

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: lgranowetter564070@nychhc.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1437123247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 EAST 32ND STREET",
            "address_2": "HASSENFELD CENTER L3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-263-9660",
            "fax_number": "212-263-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 EAST 32ND STREET",
            "address_2": "HASSENFELD CENTER L3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-263-9660",
            "fax_number": "212-263-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANOWETTER",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": "1721044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01052639",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.