JENNIFER ANNE CLARK (NPI# 1265940340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265940340 |
| Entity Type | Individual |
| Full Name | JENNIFER ANNE CLARK |
| Credential | M.ED. |
| Practice Address |
35 Pulaski Rd Whitehouse Station NJ 08889-3516 |
| Practice Telephone | 9085814765 |
| Mailing Telephone | 9085814765 |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723038 | Jennifer Michelle Clark | Social Worker | 22 Norva Ave, Frederick, MD 21701-6279 | 2020-06-04 |
| 1982249926 | Jennifer Rae Clark | Nurse Practitioner | 2800 E League City Pkwy Apt 216, League City, TX 77573-1676 | 2019-11-13 |
| 1528546827 | Jennifer Clark | Technician | 59 Forrester St Sw Apt B, Washington, DC 20032-2120 | 2018-07-30 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1295124899 | Jennifer Clark | Behavioral Analyst | 662 Lake George Dr, Melbourne, FL 32940-2221 | 2015-01-20 |
| 1851707194 | Jennifer Sara Clark | Physical Therapist | 797 Evergreen Dr, West Hempstead, NY 11552-3406 | 2014-07-08 |
| 1083988794 | Jennifer Makiki Clark | Health Educator | 5858 Wilshire Blvd Ste 300, Los Angeles, CA 90036-4509 | 2012-02-27 |
| 1639484520 | Jennifer Ann Clark | Speech-Language Pathologist | 5903 Neptune Dr, Fort Collins, CO 80525-3905 | 2010-08-16 |
| 1245567247 | Jennifer Selleck Clark | Nurse Practitioner | 1840 Martin Luther King Jr Blvd Ste C4, Chapel Hill, NC 27514 | 2009-11-11 |
| 1538493119 | Jennifer L Clark | Physical Therapist | 28654 State Highway 23, Stamford, NY 12167-1712 | 2009-09-29 |
| Street Address |
35 PULASKI RD |
| City | WHITEHOUSE STATION |
| State | NJ |
| Zip Code | 08889-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851805139 | Van Nguyen Tang | Acupuncturist | 460 Us Highway 22 W, Bdg 3, Suite 309, Whitehouse Station, NJ 08889 | 2017-11-26 |
| 1407215171 | Leslie Weinman | Nutritionist | 295 Route 22 East, Suite 3, Whitehouse Station, NJ 08889 | 2016-02-23 |
| 1841661592 | Janet Rollero | Specialist | 422 Route 22 West, Unit 4, Whitehouse Station, NJ 08889 | 2015-10-07 |
| 1457733222 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 418 Us Highway 22 W, Whitehouse Station, NJ 08889 | 2015-06-29 |
| 1649595331 | William George Mcauliffe | Chiropractor | 7 Matheson Road, Whitehouse Station, NJ 08889 | 2010-04-06 |
| 1780817213 | Amerigo Abonitalla | Physical Therapist | 537 Route 22 East, Whitehouse Station, NJ 08889 | 2009-09-01 |
| 1235311671 | Center for Family Health, LLC | Family Medicine | 431 Route 22 East, Whitehouse Station, NJ 08889 | 2007-11-28 |
| 1831388933 | Jennifer Ann Dechert | Psychologist | 295 Route 22 E., Suite 3, Whitehouse Station, NJ 08889 | 2007-10-15 |
| 1336353242 | Steven D. Ginsberg | Physical Therapist | 1703 Farley Rd, Whitehouse Station, NJ 08889 | 2007-05-09 |
| 1710101134 | Karen Stage Opdyke, Md, PC | Psychiatry & Neurology | 152 Oldwick Rd., Whitehouse Station, NJ 08889 | 2007-04-13 |
| Find all providers in zip 08889 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568781 | The Njecc | Day Training, Developmentally Disabled Services | 30-34 Okner Pkwy, Livingston, NJ 07039-1649 | 2020-11-04 |
| 1689274284 | Health Focused Living | Day Training, Developmentally Disabled Services | 713 Whalers Dr, Absecon, NJ 08201-2840 | 2020-11-01 |
| 1649877044 | Atlantic Center for Independent Living Inc. | Day Training, Developmentally Disabled Services | 160 S Pitney Rd Ste 3and4, Galloway, NJ 08205-9643 | 2020-10-08 |
| 1427665835 | Golden Years Adult Day Care Center | Day Training, Developmentally Disabled Services | 1225 Mcbride Ave Ste 208, Woodland Park, NJ 07424-3813 | 2020-09-29 |
| 1023624210 | The Arc of Essex County, Inc. | Day Training, Developmentally Disabled Services | 264 Passaic Ave Ste 2, Fairfield, NJ 07004-2531 | 2020-09-22 |
| 1962016436 | The Arc of Burlington County, Inc. | Day Training, Developmentally Disabled Services | 25 Independence Dr, Lumberton, NJ 08048-2231 | 2020-09-02 |
| 1538773270 | All In 2gether LLC | Day Training, Developmentally Disabled Services | 1229 Haddonfield Berlin Rd, Voorhees, NJ 08043-4852 | 2020-09-01 |
| 1366055535 | Lds Partners In Care LLC | Day Training, Developmentally Disabled Services | 60 Nevada St Apt 206, Apt 206, Newark, NJ 07102-2539 | 2020-08-27 |
| 1922610583 | New Horizons In Autism, Inc. | Day Training, Developmentally Disabled Services | 1808 Rte 37 E, Toms River, NJ 08753-8257 | 2020-08-17 |
| 1356952451 | Eden Autism Services | Day Training, Developmentally Disabled Services | 411 Ravens Road, Robbinsville, NJ 08691 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
| City | WHITEHOUSE STATION |
| Zip Code | 08889 |
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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.