Active NPI
Evgenia Granina, M.D
- Medical Oncology Physician
- Egg Harbor Township, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 25MA12559900
- Practice address
- 2500 English Creek Ave
BLDG 400, 2ND FL
Egg Harbor Township, NJ 08234 - Phone
- (609) 677-7777
- Fax
- (609) 677-7727
- NPI assigned
- Jun 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 289848 | MA | |
| Medical Oncology Physician | 207RX0202X | 25MA12559900 | NJ | Primary |
Addresses
Primary practice location
2500 English Creek Ave
BLDG 400, 2ND FL
Egg Harbor Township, NJ 08234
Mailing address
2500 English Creek Ave
BLDG 400, 2ND FL
Egg Harbor Township, NJ 08234
Phone (609) 677-7777
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Albany Medical College of Union University, 2015
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
331 Newman Springs Rd
Red Bank, NJ 07701-5688
Hospital & facility affiliations
- Atlanticare Regional Medical Center - City Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289848 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Atlanticare Regional Medical Center | Current | Accepting new patients | |
| Atlanticare Regional Medical Center | Internal Medicine | Current | Accepting new patients |
Locations
1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245
2500 English Creek Ave
Ste 400
Egg Hbr Twp, NJ 08234
Phone (609) 677-7700
65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
Interoperability endpoints
- egranina140496@direct.bmc.masshiway.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Atlantic City, NJ
- NPI 1568663250
-
- Community/Retail Pharmacy
- Atlantic City, NJ
- NPI 1235677378
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pomona, NJ
- NPI 1013919315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1699156604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 ENGLISH CREEK AVE",
"address_2": "BLDG 400, 2ND FL",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "08234",
"telephone_number": "609-677-7777",
"fax_number": "609-677-7727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 ENGLISH CREEK AVE",
"address_2": "BLDG 400, 2ND FL",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "08234",
"telephone_number": "609-677-7777",
"fax_number": "609-677-7727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANINA",
"first_name": "EVGENIA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "289848",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NJ",
"license": "25MA12559900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.