Mark Granata, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

MD001857 Issued in NJ

Practice address

342 Central Ave
Jersey City, NJ 07307-2918

Phone

(201) 653-1949

Fax

(201) 653-1997

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Avenue Podiatry Associates PCGroup PAC ID 4082875919, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgranata241840@epicdirect.rwjbh.org
• Direct secure messaging: mark.granata@direct.bayonnemedicalcenter.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Avenue Podiatry Associates PC

  • Podiatrist
  • Jersey City, NJ
  • NPI 1336231281

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Hoboken Ankle & Foot Center

  • Podiatrist
  • Hoboken, NJ
  • NPI 1659455848
  Medicare reassignment NPD
• Mark Granata, DPM

  • Podiatrist
  • Newark, NJ
  • NPI 1427103605
  NPD (past) Authorized official
• Ijkg Opco LLC

  • Skilled Nursing Facility
  • Bayonne, NJ
  • NPI 1437356755
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Newark Beth Israel Medical Center Inc

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215027966
  Care Compare affiliation

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1689616534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 CENTRAL AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072918",
            "telephone_number": "201-653-1949",
            "fax_number": "201-653-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 CENTRAL AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072918",
            "telephone_number": "201-653-1949",
            "fax_number": "201-653-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANATA",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD001857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Patrice Graham Wilson, LPC
• Vivian Graham, DDS
• Jennifer A Grajales, COTA
• Nelson P. Gramatica, APN-C
• Valentina Gran, CMT
• Karla Granja, FNP-C
• Drew Samuel Grasmick, PHARM D
• Joanna Elizabeth Grater, M.D.
• Great Atlantic & Pacific Tea Company Inc
• Brian Greco, LCSW

• Foot & Ankle Surgery Podiatrist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.