Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JOAN GRANITSAS CRNP
NPI 1215934070
Pediatrics in Revere, MA

Active since July 07, 2005
280 BEACH ST, REVERE, MA 02151(781) 289-5057(781) 289-4485 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Joan Granitsas Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOAN GRANITSAS CRNP (NPI 1215934070) is an individual pediatrics provider in Revere, Massachusetts, licensed in Massachusetts (214641) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1215934070
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJOAN GRANITSASCredential: CRNP
Location Address280 BEACH STRevere, MA 02151-3143
Mailing Address280 Beach StRevere, MA 02151-3143 · (781) 289-5057 · Fax (781) 289-4485
Fax(781) 289-4485
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1215934070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MA · 214641
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

280 BEACH ST, Revere, MA 02151

Other Identifiers 2

Medicaid0350231MA
OtherNP9820MA · Bcbs

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
280 BEACH ST
REVERE, MA 02151
Nurse Practitioner (Women's Health)
280 BEACH ST
REVERE, MA 02151
Pediatrics (Adolescent Medicine)
280 BEACH ST
REVERE, MA 02151
Obstetrics & Gynecology
280 BEACH ST
REVERE, MA 02151
Social Worker (Clinical)
280 BEACH ST
REVERE, MA 02151
Pediatrics
280 BEACH ST
REVERE, MA 02151

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215934070, enumerated as an "individual" on July 07, 2005.

The provider is located at 280 BEACH ST REVERE, MA 02151 and the phone number is (781) 289-5057.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.