MARTIN I GRANOFF MD PC – NPI #1104936061
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

MARTIN I GRANOFF MD PC is a provider located in EAST NORTHPORT, NY. NPPES has assigned the NPI number 1104936061 to MARTIN I GRANOFF MD PC on August 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 19 years ago on Dec 07, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARTIN I GRANOFF MD PC below.

NPI Profile for
MARTIN I GRANOFF MD PC

NPI Number
1104936061
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARTIN I GRANOFF MD PC
Primary location
554 LARKFIELD ROAD
SUTIE 105
EAST NORTHPORT, NY 11731
Phone: (631) 369-3800 Fax: (631) 368-3802
Mailing address
PO BOX 899
EAST NORTHPORT, NY 11731-0526
Phone: (631) 369-3800 Fax: (631) 368-3802
Organization Subpart
No
Authorized Official
MARTIN GRANOFF
PHYSICIAN
Phone: (631) 369-3800
Updated
Identifiers

Identifiers for MARTIN I GRANOFF MD PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY02169033
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
NY 211787

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.