Mark Granata (NPI# 1689616534, PAC ID# 2961476775) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1689616534 |
| PAC ID by PECOS | 2961476775 |
| Professional Enrollment ID | I20040825001313 |
| Full Name | Mark Granata |
| Organization Legal Name | CENTRAL AVENUE PODIATRY ASSOCIATES PC |
| Address |
342 Central Ave Jersey City NJ 07307-2918 |
| Phone Number | 2016531949 |
| Gender | M |
| Credential | DPM |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4082875919 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310002 | NEWARK BETH ISRAEL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 500 Bloomfield St, Hoboken, NJ 07030-5171 | 2016564608 | HOBOKEN ANKLE AND FOOT CENTER |
| 342 Central Ave, Jersey City, NJ 07307-2918 | 2016531949 | CENTRAL AVENUE PODIATRY ASSOCIATES PC |
| 264 Millburn Ave, Millburn, NJ 07041-1710 | 9733769292 | HOBOKEN ANKLE AND FOOT CENTER |
| Organization Legal Name | CENTRAL AVENUE PODIATRY ASSOCIATES PC |
| Physicians | 1 |
| Street Address |
342 CENTRAL AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip | 07307-2918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manish P Luhana | Internal Medicine | 178 Ogden Ave, Jersey City, NJ 07307-1337 | |
| Zorayda O Deleon | Internal Medicine | 311 Palisade Ave, Jersey City, NJ 07307-1772 | |
| Cathleen M Saros | Family Medicine | Riverside Pediatric Group PC | 324 Palisade Ave, Fl 2, Jersey City, NJ 07307-1791 |
| Annie Zeb | Podiatry | Riverside Pediatric Group PC | 324 Palisade Ave, Fl 2, Jersey City, NJ 07307-1791 |
| Daniel A Elber | Family Medicine | Riverside Pediatric Group PC | 324 Palisade Ave, Fl 2, Jersey City, NJ 07307-1791 |
| Nawar Al Obaidi | Internal Medicine | Riverside Pediatric Group PC | 324 Palisade Ave, Fl 2, Jersey City, NJ 07307-1791 |
| Brett P Bielory | Ophthalmology | Riverside Pediatric Group PC | 324 Palisade Ave, Fl 2, Jersey City, NJ 07307-1791 |
| Emerlinda C Imperio | Nurse Practitioner | Riverside Pediatric Group PC | 324 Palisade Ave, Fl 2, Jersey City, NJ 07307-1791 |
| Craig Pn Sorkin | Nurse Practitioner | Riverside Pediatric Group PC | 324 Palisade Ave, Fl 2, Jersey City, NJ 07307-1791 |
| Alonnah A Wilcher | Podiatry | Riverside Pediatric Group, PC | 324 Palisade Ave, Fl 2, Jersey City, NJ 07307-1791 |
| Find all physicians in zip 07307 | |||
| City | JERSEY CITY |
| Zip Code | 07307 |
| Specialty | PODIATRY |
| City + Specialty | JERSEY CITY + PODIATRY |
Please comment or provide details below to improve the information on Mark Granata.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.