Active NPI
Livia Granata-Sakellaris, M.D.
- Pain Medicine (Psychiatry & Neurology) Physician
- Englewood, NJ
National Provider Identifier
1811037401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Psychiatry & Neurology) Physician
- License
- MA62027
- Practice address
- 106 Grand Ave
Englewood, NJ 07631-3574 - Phone
- (201) 233-5789
- NPI assigned
- Feb 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | MA62027 | NJ | Primary |
Addresses
Primary practice location
106 Grand Ave
Englewood, NJ 07631-3574
Mailing address
PO Box 428
Tenafly, NJ 07670-0428
Phone (201) 233-5789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA62027 | NJ | MD | Pain Medicine (Psychiatry & Neurology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811037401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076700428",
"telephone_number": "201-233-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 GRAND AVE",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076313574",
"telephone_number": "201-233-5789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANATA-SAKELLARIS",
"first_name": "LIVIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "NJ",
"license": "MA62027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, NJ
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.