{"npi":"1235239328","type":"NPI-1","status":"active","name":{"display":"Mark Granick MD","other":[],"first":"MARK","last":"GRANICK","credential":"MD"},"specialty":{"primary_taxonomy":"2082S0099X","primary_taxonomy_description":"Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician","slug":"plastic-surgery-within-the-head-and-neck-plastic-surgery-physician","schema_org_specialty":null,"all":[{"code":"2082S0099X","description":"Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician","primary":true,"state":"NJ","license":"MA72027"},{"code":"2082S0105X","description":"Surgery of the Hand (Plastic Surgery) Physician","primary":false,"state":"NJ","license":"MA72027"}]},"addresses":[{"purpose":"LOCATION","street_1":"140 BERGEN STREET E","city":"NEWARK","state":"NJ","postal_code":"19103","country_code":"US","street_2":"1620","phone":"9739728092"},{"purpose":"MAILING","street_1":"6 WESTMOUNT DR","city":"LIVINGSTON","state":"NJ","postal_code":"070394213","country_code":"US","phone":"9739728092"}],"license":{"state":"NJ","number":"MA72027"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"6762409","state":"NJ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20051020000050","type_code":"14-24","type_desc":"PRACTITIONER - PLASTIC AND RECONSTRUCTIVE SURGERY","state":"NJ","pac_id":"0547286411"}]},"enumeration_date":"2006-09-25","last_updated":"2025-09-11","_meta":{"source":"NPPES","snapshot_date":"2025-09-11","doc_url":"https://findmynpi.com/api"}}