Active NPI
Marylin Joan Granat, MSW LCSW BCD
- Clinical Social Worker
- Teaneck, NJ
National Provider Identifier
1902013568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00093900
- Practice address
- 310 Cedar Lane
1St Floor
Teaneck, NJ 07666 - Phone
- (201) 712-9520
- Fax
- (201) 843-2763
- NPI assigned
- May 16, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | BCD 27806 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC00093900 | NJ | Primary |
| Clinical Social Worker | 1041C0700X | R0317651 | NY |
Addresses
Primary practice location
310 Cedar Lane
1St Floor
Teaneck, NJ 07666
Mailing address
310 Cedar Lane
1St Floor
Teaneck, NJ 07666
Phone (201) 712-9520
Other names 1
- Marylin Schiff Granat
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050412000979 | NJ | Practitioner - Clinical Social Worker | 3476590357 | Practice locations: Teaneck, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
310 Cedar Lane
1St Floor
Teaneck, NJ 07666-3441
310 Cedar LN
Teaneck, NJ 07666-3441
Phone (201) 712-9520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC00093900 | NJ | MD | Clinical Social Worker |
| BCD 27806 | NY | MD | Clinical Social Worker |
| R0317651 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1902013568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 CEDAR LANE",
"address_2": "1ST FLOOR",
"city": "TEANECK",
"state": "NJ",
"postal_code": "07666",
"telephone_number": "201-712-9520",
"fax_number": "201-843-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 CEDAR LANE",
"address_2": "1ST FLOOR",
"city": "TEANECK",
"state": "NJ",
"postal_code": "07666",
"telephone_number": "201-712-9520",
"fax_number": "201-843-2763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANAT",
"first_name": "MARYLIN",
"middle_name": "JOAN",
"name_prefix": "Ms.",
"credential": "MSW LCSW BCD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "BCD 27806",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00093900",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R0317651",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARYLIN",
"last_name": "GRANAT",
"middle_name": "SCHIFF",
"credential": "MSW ACSW LCSW BCD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.