MARY T GRANHOLM (NPI# 1861620155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861620155 |
| Entity Type | Individual |
| Full Name | MARY T GRANHOLM |
| Credential | RN MSN APN |
| Practice Address |
20 Prospect Ave Suite 400 Hackensack NJ 07601-1997 |
| Mailing Address |
26 Twin Lakes Dr Airmont NY 10952-4414 |
| Practice Telephone | 2013368297 |
| Practice Fax Number | 2013368296 |
| Mailing Telephone | 8453568777 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0200X |
Registered Nurse Specialization: Oncology |
26NJ00189400 | NJ | Nursing Service Providers |
| Street Address |
20 PROSPECT AVE SUITE 400 |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769317 | William K Boss | Specialist | 20 Prospect Ave, Ste 600, Hackensack, NJ 07601-1962 | 2005-06-09 |
| 1457992679 | Carmen Cecilia Peralta | Nurse Practitioner | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2019-09-30 |
| 1255988432 | Leila Ledesma-apolinario | Registered Nurse | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2019-08-21 |
| 1871061440 | Debbie Yiu | Nurse Practitioner | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2018-11-12 |
| 1942708128 | Maria Dei Tos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2018-01-23 |
| 1689115230 | Lauren Elyse Dipasquale | Audiologist | 20 Prospect Ave, Suite 808, Hackensack, NJ 07601-1997 | 2017-03-15 |
| 1609316579 | Dayra Soto | Nurse Practitioner | 20 Prospect Ave, Suite 516, Hackensack, NJ 07601 | 2017-02-27 |
| 1538605456 | Shoshanah Ruth Haricha | Nurse Practitioner | 20 Prospect Ave, Suite 715, Hackensack, NJ 07601-1997 | 2017-01-17 |
| 1710431101 | Brandon Howard Md LLC | Internal Medicine | 20 Prospect Ave, Suite 905, Hackensack, NJ 07601-1997 | 2016-08-15 |
| 1518410349 | Veronica Rossi | Nurse Practitioner | 20 Prospect Ave, Suite 800, Hackensack, NJ 07601-1997 | 2016-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 163WX0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Oncology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396973897 | Ann Mcneill | Registered Nurse | 20 Prospect Ave, Suite 400, Hackensack, NJ 07601-1997 | 2009-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881231835 | Lunie Samedi | Registered Nurse | 427 Chapman St, Irvington, NJ 07111-1501 | 2019-12-09 |
| 1902183676 | Soon Ja Oh | Registered Nurse | 130a W Pleasant Ave, Maywood, NJ 07607-1357 | 2011-11-09 |
| 1619110723 | Zu-kei C Lin | Registered Nurse | 100 Madison Ave # 46, Morristown, NJ 07960-6136 | 2009-04-20 |
| 1578522348 | Dianne Emily Harrison | Registered Nurse | 680 Kinderkamack, Suite 300, Oradell, NJ 07407 | 2006-03-21 |
| 1841897824 | Jennifer Abillar-wright | Registered Nurse | 225 Summit Ave, Montvale, NJ 07645-1523 | 2020-10-03 |
| 1851927164 | Mary Theresa Downey-freiman | Registered Nurse | 1 Health Plz, East Hanover, NJ 07936-1016 | 2020-03-18 |
| 1306367040 | Virlyn Patience Toure | Registered Nurse | 1 Capital Way, Pennington, NJ 08534-2520 | 2017-07-03 |
| 1346633047 | Tareai Pruitt-smith | Registered Nurse | 195 Little Albany St, New Brunswick, NJ 08901-1914 | 2015-03-05 |
| 1265703813 | Hemanshu Patel | Registered Nurse | 725 W State St, Trenton, NJ 08618-5417 | 2012-01-13 |
| 1891946174 | Anne Tyno | Registered Nurse | 195 Little Albany St, New Brunswick, NJ 08901-1914 | 2008-10-06 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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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.