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Contact Information

MARK GRANICK, MD
140 BERGEN STREET E
1620
NEWARK, NJ19103
 Phone: 973-972-8092
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK GRANICK · (Male)

NPI Number 1235239328
Status Active
Credentials MD
Entity Individual
Enumeration date 09/25/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # MA72027
  • NJ Medicaid 6762409
Hospital affiliation(s)
  • SAINT BARNABAS MEDICAL CENTER - (Acute Care)
    94 OLD SHORT HILLS ROAD
    LIVINGSTON, NJ 07039
  • UMDNJ UNIVERSITY HOSPITAL - (Acute Care)
    150 BERGEN ST
    NEWARK, NJ 07103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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