Organization Active NPI

Roberto C. Granato, MDPC

  • Urology Physician
  • Elmhurst, NY
National Provider Identifier
1750577615
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ROBERTO C. GRANATO, MDPC
Practice address
4046 75TH St
Elmhurst, NY 11373-1012
Phone
(718) 335-1437
Fax
(718) 899-1846
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Dr. Roberto C. Granato, MD
Title
President
Phone
(718) 335-1437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

4046 75TH St
Elmhurst, NY 11373-1012

Mailing address

4046 75TH St
Elmhurst, NY 11373-1012
Phone (718) 335-1437

Other identifiers 1

IdentifierTypeStateIssuer
39563OtherNYGHI MEDICARE

National Provider Directory

National Provider Directory

Locations

4046 75th St
Flushing, NY 11373
Phone (718) 335-1437

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1750577615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4046 75TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731012",
            "telephone_number": "718-335-1437",
            "fax_number": "718-899-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4046 75TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731012",
            "telephone_number": "718-335-1437",
            "fax_number": "718-899-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO C. GRANATO, MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "GRANATO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-335-1437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "39563",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.