MARK GRANATA, DPM (NPI# 1427103605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427103605 |
| Entity Type | Organization |
| Organization Name | MARK GRANATA, DPM |
| Practice Address |
804 Clinton Ave Newark NJ 07108-1004 |
| Practice Telephone | 9733730955 |
| Mailing Telephone | 9733730955 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-09-21 |
| Authorized Official Name | MARK GRANATA (PODIATRIST) |
| Authorized Official Telephone | 9733730955 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | MD001857 | NJ | Podiatric Medicine & Surgery Service Providers |
| Street Address |
804 CLINTON AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07108-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114905452 | Chi Fung Ip | Dentist | 804 Clinton Ave, Clinton Hill Dental Assoc, Newark, NJ 07108 | 2006-01-06 |
| 1073584512 | Lealon A Robinson | Dentist | 804 Clinton Ave, Newark, NJ 07108 | 2006-02-01 |
| 1023097425 | Theodore Davis | Dentist | 804 Clinton Ave, Clinton Hill Dental Assoc, Newark, NJ 07108 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376129 | Star Medcare PC | Physical Medicine & Rehabilitation | 62 Elizabeth Ave., Newark, NJ 07108 | 2020-11-02 |
| 1326665480 | Deandra Guzman | Counselor | 431-435 18th Avenue, Newark, NJ 07108 | 2020-07-06 |
| 1225579857 | Q and K Home Care Services Limited Liability Company | Community Health Worker | 191 Milford Avenue, Newark, NJ 07108 | 2017-03-15 |
| 1932646783 | Helping Hands Medical Supply | Durable Medical Equipment & Medical Supplies | 351-353 Avon Avenue, Rear Door, Newark, NJ 07108 | 2017-01-31 |
| 1366823619 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mt. Prospect Ave, Newark, NJ 07108 | 2015-06-12 |
| 1346650835 | Adeboye Adeoye Adeniran | Physical Therapy Assistant | 110 Somerset Street, Apt 3a, Newark, NJ 07108 | 2014-05-06 |
| 1952739435 | Unity Global Agency LLC | Home Health | 634 Clinton Avenue, 304, Newark, NJ 07108 | 2013-10-22 |
| 1598996704 | Best Interest Homecare | Chore Provider | 155 1/2d Avon Ave., Newark, NJ 07108 | 2009-08-05 |
| 1790840130 | Rose Garden Nutrition Inc | Pharmacy | 22 Elizabeth Ave, Suite 100, Newark, NJ 07108 | 2006-12-26 |
| 1053494187 | Colden Douglas Raines Jr. | Dentist | 603 Clinton Ave, Newark, NJ 07108 | 2006-10-23 |
| Find all providers in zip 07108 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| 1114284106 | Jennifer R Seifert | Podiatrist | 4745 Ogletown Stanton Rd Ste 225, Newark, DE 19713-1387 | 2012-04-16 |
| 1962728675 | Kbf Foot & Ankle Surgeons, Pa | Podiatrist | 254 Walnut St, Newark, NJ 07105-1717 | 2010-04-20 |
| 1710165170 | Foot & Ankle Specialists Of | Podiatrist | 1950 Tamarack Rd, Newark, OH 43055-1363 | 2008-02-07 |
| 1902937568 | John Zatourian | Podiatrist | 389 Sanford Ave, Newark, NJ 07106-1149 | 2007-03-08 |
| 1750420899 | Carrie Z. O'neill | Podiatrist | 165 W Shore Blvd, Newark, NY 14513-1259 | 2007-02-05 |
| 1710057468 | James C Totten | Podiatrist | 40 Ferry Street, Newark, NJ 07105 | 2006-11-09 |
| 1568557890 | William Scott Newcomb | Podiatrist | 4051 Ogletown Rd Ste 102, Newark, DE 19713-3101 | 2006-10-03 |
| 1679689764 | Javier Ricardo Ponce | Podiatrist | 654 Mount Prospect Ave Ste 301, Newark, NJ 07104-3110 | 2006-08-22 |
| 1689617961 | Anthony H Mascioli | Podiatrist | 918 N Main St, Newark, NY 14513-1030 | 2006-06-14 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.