Attilio Vincent Granata, MD, MBA, FACP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

022309 Issued in CT

Practice address

130 Wildrose Rd
Orange, CT 06477-1837

Phone

(203) 530-1451

NPI assigned

May 15, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

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

• Gaylord Hospital, Inc.

  dba Gaylord Hospital

  • Long Term Care Hospital
  • Wallingford, CT
  • NPI 1730137753
  NPD (past)
• Regional Physician Services Connecticut PC

  dba Matrix Medical Network

  • Nurse Practitioner
  • East Berlin, CT
  • NPI 1659679900
  NPD (past)
• Regional Physician Services, CT, P.C

  • Internal Medicine Physician
  • Waterbury, CT
  • NPI 1942345830
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831305226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WILDROSE RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064771837",
            "telephone_number": "203-530-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WILDROSE RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064771837",
            "telephone_number": "203-530-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANATA",
        "first_name": "ATTILIO",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD, MBA, FACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "022309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Alfredo Gil Ventura, MD
• Olivia Glacken
• Jennifer Del Carmen Gonzalez-Holmes
• Jazmin Gonzalez, SLP
• Gorgeous Smiles Dental Orange PLLC
• Alexis Diana Grant, PH.D.
• Nickholas Grant, PH.D
• Erin Lenore Greenberg, OTD
• Philip N. Gross, LMFT
• Ayleen Gutierrez

• Internal Medicine Physician in Orange, CT
• Providers in Orange, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.