DR. GLEN THOMAS GRANATI


Address: Mather Hospital, 75 N Country Rd, Port Jefferson, NY 11777
Phone: 6314731320

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
Dept. of Medicine, Hsc Level 16, Suny Stony Brook, Stony Brook, NY 11794 6314447411 6314442493

Office Location

Street Address MATHER HOSPITAL, 75 N COUNTRY RD
City PORT JEFFERSON
State NY
Zip Code 11777

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City PORT JEFFERSON
Zip Code 11777

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Dataset Information

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.

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