Mark Granick, MD
Plastic Surgery, Plastic Surgery Within the Head and Neck in Newark, New Jersey
1235239328- Practice location
- 140 Bergen Street E, 1620, Newark, NJ 19103
- Phone
- 973-972-8092
- Fax
- —
- Last updated
- September 11, 2025
Mark Granick is a Plastic Surgery, Plastic Surgery Within the Head and Neck based in Newark, NJ. Mark Granick practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Mark Granick is 1235239328 and holds a License No. MA72027 (NJ). The current practice location address for Mark Granick is 140 Bergen Street E, 1620, Newark, NJ 19103 and can be reached out via phone at 973-972-8092.
Provider Profile Details
- NPI Number
- 1235239328
- Provider Name
- Mark Granick
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 140 Bergen Street E, 1620, Newark, NJ 19103
- Phone Number
- 973-972-8092
- Primary Taxonomy
- Plastic Surgery, Plastic Surgery Within the Head and Neck · 2082S0099X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 25, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 140 Bergen Street E
1620
Newark, NJ 19103 - City
- Newark
- State
- New Jersey
- Zip
- 19103
- Phone Number
- 973-972-8092
Provider Business Mailing Address Details
- Address
- 6 Westmount Dr
Livingston, NJ 07039-4213 - City
- Livingston
- State
- NJ
- Zip
- 07039-4213
- Phone Number
- 973-972-8092
License Information
- License Number (1)
- MA72027
- License State (1)
- NJ
- Taxonomy (1)
- Plastic Surgery, Plastic Surgery Within the Head and Neck · 2082S0099X · Primary
- License Number (2)
- MA72027
- License State (2)
- NJ
- Taxonomy (2)
- Plastic Surgery, Surgery of the Hand · 2082S0105X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mark Granick, MD?
The NPI number of Mark Granick, MD is 1235239328. It was assigned on September 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Mark Granick, MD?
Mark Granick, MD is registered under the primary taxonomy Plastic Surgery, Plastic Surgery Within the Head and Neck (code 2082S0099X), licensed in NJ under license number MA72027.
Where does Mark Granick, MD practice?
The practice location is 140 Bergen Street E, 1620, Newark, NJ 19103. The office can be reached at 973-972-8092 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235239328 directly on the NPPES registry website.