Mark Granata, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

MD001857 Issued in NJ

Legal business name

MARK GRANATA, DPM

Practice address

804 Clinton Ave
Newark, NJ 07108-1004

Phone

(973) 373-0955

NPI assigned

Jan 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Granata, DPMNPI 1689616534

Title

Podiatrist

Phone

(973) 373-0955

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Granata, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jersey City, NJ
  • NPI 1689616534
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1427103605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 CLINTON AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071081004",
            "telephone_number": "973-373-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 CLINTON AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071081004",
            "telephone_number": "973-373-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK GRANATA, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "GRANATA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "973-373-0955",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD001857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marici, MD
• Marie C Friedman JD LCSW Lcadc LLC
• Matthew Gruen Marin, M.D.
• Lori Marino, PA
• Marion P. Thomas Charter High School (Marion P. Thomas Charter School)
• Mark Lister, M.D., PA
• Mark Pollack OD PA
• Mark V Russo, DC, LLC (Russo Chiropractic and Rehab Center)
• Janet Mark
• Kenneth Joel Markowitz, DDS

• Podiatrist in Newark, NJ
• Providers in Newark, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.