DR. GLEN THOMAS GRANATI (NPI# 1467872739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467872739 |
Entity Type | Individual |
Full Name | DR. GLEN THOMAS GRANATI |
Credential | M.D. |
Practice Address |
Mather Hospital, 75 N Country Rd Port Jefferson NY 11777 |
Mailing Address |
Mather Hospital, 75 North Country Rd Intensivist Department Port Jefferson NY 11777 |
Practice Telephone | 6314731320 |
Mailing Telephone | 6314731320 |
Enumeration Date | 2014-04-24 |
Last Update Date | 2020-09-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
302485 | NY | Allopathic & Osteopathic Physicians |
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
302485 | NY | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
Dept. of Medicine, Hsc Level 16, Suny Stony Brook, Stony Brook, NY 11794 | 6314447411 | 6314442493 |
Street Address |
MATHER HOSPITAL, 75 N COUNTRY RD |
City | PORT JEFFERSON |
State | NY |
Zip Code | 11777 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760942023 | Hamza Quadri | Student in an Organized Health Care Education/Training Program | Mather Hospital, 75 N Country Rd, Internal Medicine Residency Prog Level 2-cmo Suite, Port Jefferson, NY 11777 | 2019-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
Find all providers in zip 11777 |
Taxonomy Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457536377 | Nick N Patel | Internal Medicine | 70 N Country Rd Ste 101, Port Jefferson, NY 11777-2161 | 2008-01-09 |
1265711071 | Suffolk Critical Care Associates, LLP | Internal Medicine | 60 N Country Rd, Suite 203, Port Jefferson, NY 11777-2188 | 2011-08-10 |
1306908314 | Maritza Lastra Groth | Internal Medicine | 70 N Country Rd, Suite 101, Port Jefferson, NY 11777-2161 | 2006-12-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225508179 | Critical Care Telemedicine, Pllc | Internal Medicine | 1971 Western Ave # 197, Albany, NY 12203-5066 | 2018-12-04 |
1962908376 | Jan Bakker | Internal Medicine | 555 First Ave, New York, NY 10016 | 2018-04-04 |
1124543095 | Ccmma Nj LLC | Internal Medicine | 224 W 18th St Apt 8a, New York, NY 10011-4558 | 2017-08-11 |
1538698642 | Medical Care for All PC | Internal Medicine | 22 E 41st St Fl 4, New York, NY 10017-6280 | 2017-06-12 |
1437606050 | Sleep Solutions Inc. | Internal Medicine | 2446 East Tremont Avenue, Bronx, NY 10461-2817 | 2016-09-01 |
1841609302 | Laura Miranda | Internal Medicine | 4750 59th St, Woodside, NY 11377-5570 | 2014-08-10 |
1104236611 | Britta Kumley | Internal Medicine | 450 Clarkson Ave # Sl-50, Brooklyn, NY 11203-2012 | 2014-05-06 |
1497172548 | Michael Joseph Lau | Internal Medicine | 39 Brentwood Rd Ste 102, Bay Shore, NY 11706-8031 | 2014-03-26 |
1821431164 | Nidhi Kavi | Internal Medicine | 56 Myles Ave, Levittown, NY 11756-1717 | 2013-04-16 |
1578906178 | Zachary Kuschner | Internal Medicine | 166 E 96th St Apt 2b, New York, NY 10128-2512 | 2013-04-12 |
Find all providers with the same taxonomy |
City | PORT JEFFERSON |
Zip Code | 11777 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.