Active NPI
Charles E. Granatir, M.D.
- Specialist
- Kearny, NJ
National Provider Identifier
1508019829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA047062
- Legal business name
- CHARLES E. GRANATIR, M.D.
- Practice address
- 586 Kearny Ave
Kearny, NJ 07032-2806 - Phone
- (201) 997-7667
- Fax
- (201) 997-3324
- NPI assigned
- Oct 30, 2008
- Last updated
- Jul 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles E Granatir, MD
- Title
- Physician
- Phone
- (201) 997-7667
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA047062 | NJ | Primary |
Addresses
Primary practice location
586 Kearny Ave
Kearny, NJ 07032-2806
Mailing address
586 Kearny Ave
Kearny, NJ 07032-2806
Phone (201) 997-7667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 518001 | Other | NJ | MEDICARE PROVIDER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Specialist
- Kearny, NJ
- NPI 1740388545
-
- Physical Therapist
- Kearney, NJ
- NPI 1154305506
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Nutley, NJ
- NPI 1740375898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437350400000",
"number": "1508019829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "586 KEARNY AVE",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070322806",
"telephone_number": "201-997-7667",
"fax_number": "201-997-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "586 KEARNY AVE",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070322806",
"telephone_number": "201-997-7667",
"fax_number": "201-997-3324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES E. GRANATIR, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-30",
"last_updated": "2015-07-20",
"status": "A",
"authorized_official_last_name": "GRANATIR",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "201-997-7667",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "MA047062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER",
"identifier": "518001",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kearny, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.