Individual provider Active NPI

Lisa M. Golding-Granado, MD

  • Internal Medicine Physician
  • Shrewsbury, NJ
National Provider Identifier
1538163928
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07030000 Issued in NJ
Practice address
Golding Granado Medical Associates
179 Avenue at the Commons, Suite 101
Shrewsbury, NJ 07702-4804
Phone
(732) 380-6010
Fax
(732) 264-5554
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA70300 NJ
Internal Medicine Physician 207R00000X 25MA07030000 NJ Primary

Addresses

Primary practice location

Golding Granado Medical Associates
179 Avenue at the Commons, Suite 101
Shrewsbury, NJ 07702-4804

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
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
I20071108000033 NJ Practitioner - Internal MedicinePractitioner - Preventive Medicine 4183633613 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA70300NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care Medical Walk-in of Hazlet, PA Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Golding Granado Medical Associates Internal Medicine CurrentSince Jan 1, 2006 Accepting new patients
Colts Neck Anti-Aging Med Center Internal Medicine Current Accepting new patients
Bayshore Physicians Proffessional Associates, P.C. Internal Medicine Past Accepting new patients

Locations

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

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

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

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

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

809 State Route 36
Union Beach, NJ 07735
Phone (732) 255-3877

Interoperability endpoints

  • Direct secure messaging: lisa.goldinggranado@immcarenj.directbygreenway.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1538163928",
    "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": "077024804",
            "telephone_number": "732-380-6010",
            "fax_number": "732-264-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDING-GRANADO",
        "first_name": "LISA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA70300",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07030000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8254605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.