Active NPI
Evelyn Carmela Granieri, M.D.
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1720094436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 239537
- Practice address
- 5141 Broadway
New York, NY 10034-1159 - Phone
- (212) 932-4439
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 239537 | NY | Primary |
Addresses
Primary practice location
5141 Broadway
New York, NY 10034-1159
Mailing address
630 W 168TH St # 4
VC 12TH Floor, Suite 208
New York, NY 10032-3725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Marys General Medical Group PC | Internal Medicine | Past | Accepting new patients |
| Trustees of Columbia University in the City of New York | Internal Medicine | Past | Accepting new patients |
| The New York and Presbyterian Hospital | Internal Medicine | Past | Accepting new patients |
| Trustees of Columbia University in City of Ny Hematology Oncology | Past | Accepting new patients | |
| The New York and Presbyterian Hospital | Past | Accepting new patients | |
| Atria Physician Practice New York, PC | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/24265/brand/1/csg/1/fhir/r4
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 6
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
- New York, NY
- NPI 1194487520
-
- Community/Retail Pharmacy
- White Plains, NY
- NPI 1457057226
-
- Hematology & Oncology Physician
- New York, NY
- NPI 1578596243
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Internal Medicine
-
- Internal Medicine Physician
- Passaic, NJ
- NPI 1477261741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720094436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 W 168TH ST # 4",
"address_2": "VC 12TH FLOOR, SUITE 208",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5141 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100341159",
"telephone_number": "212-932-4439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANIERI",
"first_name": "EVELYN",
"middle_name": "CARMELA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "239537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.