IndividualActive
Iris Granek, M.D.
NPI 1619182649 · Public Health & General Preventive Medicine Physician · Port Jefferson Station, NY
Provider details
- NPI number
- 1619182649
- Entity type
- Individual
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 147963 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
631 Jayne Blvd
Port Jefferson Station, NY 11776-2947
Phone: (631) 928-9396
Fax: (631) 444-7525
Street-level locationGet directions
Mailing address
631 Jayne Blvd
Port Jefferson Station, NY 11776-2947
Registry dates
- Enumerated
- 2007-05-12
- Last updated
- 2022-04-07
- Certified
- 2022-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.