Mark Granados
NPI 1871101006ActiveIndividual· Physician Assistant· Roslyn, NY
Physician Assistant with Modern Physician Services PC, practicing in Roslyn, New York. Part D covered 70 prescriptions written in 2024, 93% of them generic.
Overview
| NPI | 1871101006 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 14, 2020 |
| Last updated in NPPES | Jul 14, 2020 |
| Certified by provider | Jul 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 025159 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 70 · 72 30-day fills |
|---|---|
| Patients | 64 |
| Total drug cost | $649.07 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Modern Physician Services PCBrooklyn, NY · 54 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 122 physician assistants in Roslyn · All physician assistants in New York