Organization Active NPI

Charles E. Granatir, M.D.

  • Specialist
  • Kearny, NJ
National Provider Identifier
1508019829
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA047062 Issued in NJ
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Authorized official

Name
Charles E Granatir, MDNPI 1740388545
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
518001OtherNJMEDICARE PROVIDER

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.