Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Glen Thomas Granati, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1467872739

Dr. Glen Thomas Granati, MD is a Critical Care (Intensivists) in Port Jefferson, New York. Qualified in 2014, 12 years ago. Practices with Nuvance Health Medical Practice PC, a 575-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Mather Hospital 75 N Country Rd
Port Jefferson, NY 11777
Phone: (631) 473-1320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Dept. Of Medicine, Hsc Level 16, Suny Stony Brook, Stony Brook, NY 11794 — (631) 444-7411

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 302485 (NY)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 302485 (NY)

Record details

NPI number1467872739
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2014
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesPULMONARY DISEASE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Nuvance Health Medical Practice Pc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Port Jefferson