Active NPI
Kathryn K Grana, APN-C, AGACNP-BC
- Acute Care Nurse Practitioner
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 26NJ00736100
- Practice address
- 150 Bergen St
Newark, NJ 07103-2496 - Phone
- (609) 707-2013
- NPI assigned
- Jun 14, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 26NR15733500 | NJ | |
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ00736100 | NJ | Primary |
Addresses
Primary practice location
150 Bergen St
Newark, NJ 07103-2496
Mailing address
150 Bergen St
Newark, NJ 07103-2496
Phone (609) 707-2013
Other practice location 1
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (609) 707-2013
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5000
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.07 of 100
- Quality
- 76.5
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR15733500 | NJ | MD | Emergency Registered Nurse |
| 26NJ00736100 | NJ | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Emergency Medicine Associates, LLC | Acute Care | Current | Accepting new patients |
| Rwjbh Observation Associates LLC | Acute Care | Current | Accepting new patients |
Locations
519 Broadway
Bayonne, NJ 07002
Phone (201) 354-1684
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
201 Lyons Ave
#M
Newark, NJ 07112
Phone (800) 843-2384
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Interoperability endpoints
- kgrana48252@epicdirect.rwjbh.org
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
Acute Care
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
Acute Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1861922684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 BERGEN ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032496",
"telephone_number": "609-707-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BERGEN ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032496",
"telephone_number": "609-707-2013"
}
],
"practiceLocations": [
{
"address_1": "94 Old Short Hills Rd",
"address_purpose": "LOCATION",
"city": "Livingston",
"state": "NJ",
"postal_code": "070395672",
"country_code": "US",
"telephone_number": "609-707-2013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANA",
"first_name": "KATHRYN",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "APN-C, AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "NJ",
"license": "26NR15733500",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NJ00736100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.