Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK GRANICK, MD
Active Sole ProprietorMARK GRANICK, MD is a Plastic Surgery within the Head & Neck healthcare provider located in NEWARK, New Jersey. NPI 1235239328 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery within the Head & Neck · NEWARK, NJ
Registration Details
- NPI Number
- 1235239328
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2006 (19.901617735416 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
MA72027 (NJ)MA72027 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
140 BERGEN STREET E1620NEWARK, NJ, 19103Browse NJ providers · Browse ZIP 19103
- Phone
- 9739728092
- Primary Specialty
-
Plastic Surgery within the Head & Neck
2082S0099X
- Additional Specialty
- Surgery of the Hand (Plastic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.