DEBORAH CLARK (NPI# 1093279523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093279523 |
| Entity Type | Individual |
| Full Name | DEBORAH CLARK |
| Credential | R.PH. |
| Practice Address |
1055 Hamburg Tpke Wayne NJ 07470-3235 |
| Practice Telephone | 9736966667 |
| Practice Fax Number | 9738720088 |
| Mailing Telephone | 9736966667 |
| Mailing Fax Number | 9738720088 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI02145700 | NJ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679034789 | Deborah Faye Clark | Social Worker | 3006 E Cherry St, Seattle, WA 98122-5036 | 2019-03-29 |
| 1952612459 | Deborah J Clark | Midwife | 132 Edgewood Dr, New Holland, PA 17557-9355 | 2010-06-29 |
| 1245552579 | Deborah D Clark | Counselor | 66 Preston St, Unit 10, Hillsboro, NH 03244-5340 | 2010-03-01 |
| 1801935424 | Deborah Wilson Clark | Audiologist-Hearing Aid Fitter | 3555 Alameda De Las Pulgas, Ste 1, Menlo Park, CA 94025-6509 | 2007-02-06 |
| 1952457616 | Deborah Clark | Counselor | 501 Mammoth Rd, Unit1, Londonderry, NH 03053-2309 | 2007-01-26 |
| 1396729331 | Deborah A Clark | Nurse Practitioner | 3 Essex Green Dr, Peabody, MA 01960-2913 | 2005-12-02 |
| 1013535194 | Deborah Neir Clark | Pharmacist | 2200 Sparkman Dr Nw, Huntsville, AL 35810-3820 | 2020-07-06 |
| 1033536792 | Deborah Clark | Counselor | 410 S Angle St, Mount Joy, PA 17552-2031 | 2014-03-19 |
| 1558703538 | Deborah Jean Clark | Specialist | 3 Elmwood Rd, Hancock, NH 03449-5629 | 2013-07-19 |
| 1790077295 | Deborah Lee Clark | Social Worker | 377 Keahole St, E-210, Honolulu, HI 96825-3405 | 2011-05-03 |
| Street Address |
1055 HAMBURG TPKE |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740214030 | Margaret Nowak | Physical Therapist | 1055 Hamburg Tpke, Wayne, NJ 07470-3235 | 2006-07-10 |
| 1457829442 | Katelyn Haarer | Physician Assistant | 1055 Hamburg Tpke, Wayne, NJ 07470-3235 | 2018-11-07 |
| 1013414572 | Essex County Weightloss, LLC | Family Medicine | 1055 Hamburg Tpke, Wayne, NJ 07470-3235 | 2018-04-11 |
| 1962952523 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 1055 Hamburg Tpke, Wayne, NJ 07470-3235 | 2016-10-07 |
| 1760938757 | Susan Hayes | Physical Therapist | 1055 Hamburg Tpke, Wayne, NJ 07470-3235 | 2016-08-30 |
| 1629439773 | Leonard Teitelbaum | Physical Therapist | 1055 Hamburg Tpke, Wayne, NJ 07470-3235 | 2016-03-17 |
| 1891162079 | Anastasia Martino | Physical Therapist | 1055 Hamburg Tpke, Wayne, NJ 07470-3235 | 2015-08-24 |
| 1326384967 | Professional Orthopedic and Sports Physical Therapy of Nj, LLC | Physical Therapist | 1055 Hamburg Tpke, Wayne, NJ 07470-3235 | 2013-01-01 |
| 1376873273 | Jane Giardina Berman | Physical Therapist | 1055 Hamburg Tpke, Wayne, NJ 07470-3235 | 2009-12-28 |
| 1073674891 | Millennium Physical Therapy II, LLC | Physical Therapist | 1055 Hamburg Tpke, Wayne, NJ 07470-3235 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973786 | Suzanne Jahng | Pharmacist | 109 Old Homestead Rd, Wayne, NJ 07470-4170 | 2020-05-08 |
| 1801416813 | Ramsey A Samy | Pharmacist | 21 Camillo Dr, Wayne, NJ 07470-2924 | 2020-04-20 |
| 1669039657 | Tarick Ali | Pharmacist | 190 French Hill Rd, Wayne, NJ 07470-3932 | 2019-05-24 |
| 1407419062 | Carol Fattal | Pharmacist | 4 Shasta Rd, Wayne, NJ 07470-6114 | 2019-04-19 |
| 1255897930 | Maria Favocci | Pharmacist | 3 Sturbridge Cir, Wayne, NJ 07470-8403 | 2019-02-18 |
| 1366916587 | Rebecca M. Barner | Pharmacist | 402 Douglas St, Wayne, NE 68787-1822 | 2019-01-22 |
| 1205319761 | Matthew Eugene Mcgovern | Pharmacist | 391 Grange Rd, Wayne, PA 19087-2917 | 2018-09-11 |
| 1588156830 | Hythim Saeed Jubara | Pharmacist | 4020 Venoy Rd Ste 900, Wayne, MI 48184-2495 | 2018-06-02 |
| 1295249852 | Peter Andrawis | Pharmacist | 51 Stalter Dr, Wayne, NJ 07470-4156 | 2017-11-18 |
| 1801308028 | Hany A Mikhail | Pharmacist | 23 Timothy Rd, Wayne, NJ 07470-4516 | 2017-10-27 |
| Find all providers in WAYNE | ||||
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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.