CAROLINE CLARK (NPI# 1356956452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356956452 |
| Entity Type | Individual |
| Full Name | CAROLINE CLARK |
| Credential | APRN, AG-CNS |
| Practice Address |
136 Mountainview Blvd Basking Ridge NJ 07920-3444 |
| Mailing Address |
24 Dayton Rd Morris Plains NJ 07950-2425 |
| Practice Telephone | 9085423190 |
| Mailing Telephone | 2012804819 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 26NJ00967800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992205975 | Caroline Clark | Counselor | 1878 S Genoa St, Aurora, CO 80017-4620 | 2018-02-16 |
| 1619488350 | Caroline June Clark | Marriage & Family Therapist | 1489 W Warm Springs Rd, Henderson, NV 89014-7635 | 2017-10-20 |
| 1366979825 | Caroline Gray Clark | Social Worker | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2017-05-16 |
| 1083151047 | Caroline Clark | Physical Therapist | 80 Seven Hills Blvd, Suite 105, Dallas, GA 30132-0574 | 2017-01-27 |
| 1992189237 | Caroline Shaffner Clark | Physician Assistant | 2001 Randolph Rd, Charlotte, NC 28207-1215 | 2015-07-16 |
| 1336536317 | Caroline Clark | Social Worker | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2015-04-17 |
| 1972933810 | Caroline Carmela Clark | Psychiatry & Neurology | 4301 Wilson St, Fort Sill, OK 73503-4472 | 2013-11-13 |
| 1962771568 | Caroline Lee Clark | Nurse Practitioner | 31 Heath St, Jamaica Plain, MA 02130-1650 | 2011-12-28 |
| 1033487376 | Caroline Kelly Clark | Social Worker | 121 London Rd, Asheville, NC 28803-2707 | 2011-12-01 |
| 1861586182 | Caroline Clark | Nurse Practitioner | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2006-10-03 |
| Street Address |
136 MOUNTAINVIEW BLVD |
| City | BASKING RIDGE |
| State | NJ |
| Zip Code | 07920-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922036896 | Tammy Huang | Radiology | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2006-06-29 |
| 1740826528 | Marina Botrous Elfar | Pharmacist | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2019-11-27 |
| 1346891421 | Rachel Hilary Breitman | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2019-09-20 |
| 1275180812 | Carissa Laudati | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2019-08-19 |
| 1528552858 | Jacqueline Diaz | Pharmacist | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2018-06-20 |
| 1770026742 | Amy Lynn Dahl | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2016-11-23 |
| 1417311754 | Irina Konzelmann | Internal Medicine | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2016-04-13 |
| 1508247818 | Memorial Sloan Kettering | Pharmacy | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2015-06-11 |
| 1821475666 | Olivia Ayse Baldisserotto | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2015-04-30 |
| 1356767529 | Julie Cristino | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2014-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128450 | Margo Lee Tarasov | Social Worker | Rr 22 West, Bridgewater, NJ 07920 | 2020-09-11 |
| 1053894196 | Riverwalk Pharmacy LLC | Pharmacy | 665 Marinsville Rd Unite 9b, Basking Ridge, NJ 07920 | 2018-09-14 |
| 1164967196 | Somerset County Ymca | Community/Behavioral Health | 140 Mt. Airy Road, Basking Ridge, NJ 07920 | 2016-12-29 |
| 1649627159 | Dungarvin New Jersey, LLC-woodward | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 139 Woodward Ln, Basking Ridge, NJ 07920 | 2016-05-16 |
| 1134597115 | Sarah Kane | Genetic Counselor, MS | 136 Mountainview Blvd., Basking Ridge, NJ 07920 | 2015-09-09 |
| 1497137087 | Matheny School and School | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 North Maple Avenue, Basking Ridge Community Residence, Basking Ridge, NJ 07920 | 2015-06-19 |
| 1497194203 | Lauren Elizabeth Grabiec | Nurse Practitioner | 140 Allen Rd., Basking Ridge, NJ 07920 | 2013-06-14 |
| 1124466966 | David Evdokimow, M.d. LLC | Dermatology | 96 South Finley Ave., Basking Ridge, NJ 07920 | 2013-06-13 |
| 1720425804 | Carol J Skolnik | Occupational Therapist | 101 Peachtree Rd, Basking Ridge, NJ 07920 | 2013-05-29 |
| 1871863027 | Heather Lonergan | Counselor | 233 Mt.airy Rd, Basking Ridge, NJ 07920 | 2012-01-05 |
| Find all providers in zip 07920 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790199537 | Mona W. Birk, Phd, LLC | Clinical Nurse Specialist | 32 Hopkinson Ct, Basking Ridge, NJ 07920-2982 | 2014-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255887402 | June Zafra | Clinical Nurse Specialist | 1704 Whitesville Rd, Toms River, NJ 08755-1168 | 2016-08-28 |
| 1881887248 | Luisa A Raven | Clinical Nurse Specialist | 399 Hudson Terrace, Englewood Cliffs, NJ 07632-2806 | 2007-08-20 |
| 1235278094 | Hazel Ann Dennison | Clinical Nurse Specialist | 20 Magnolia Ave Ste A, Bridgeton, NJ 08302-1759 | 2007-02-06 |
| 1164435335 | Margaret Hopkins Pipchick | Clinical Nurse Specialist | 107 Lincoln Lincoln Ave, Cranford, NJ 07016-2820 | 2006-08-15 |
| 1609863703 | Springpoint At Meadow Lakes, Inc | Clinical Nurse Specialist | 300 Meadow Lks, Hightstown, NJ 08520-4804 | 2005-10-04 |
| 1013556463 | Linda Edwards | Clinical Nurse Specialist | 120 E River Rd, Rumson, NJ 07760-1631 | 2020-01-02 |
| 1366081010 | Anchor Benefits, Inc | Clinical Nurse Specialist | 120 E River Rd, Rumson, NJ 07760-1631 | 2019-12-29 |
| 1295186179 | Janet Kilroy | Clinical Nurse Specialist | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2016-06-22 |
| 1487997722 | Sheila Mackle | Clinical Nurse Specialist | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2013-04-05 |
| 1144506866 | Regina Marie Hanna | Clinical Nurse Specialist | 400 West Blackwell Street, Saint Clare's Hospital 3rd Floor, Dover, NJ 07801-2525 | 2011-10-26 |
| Find all providers with the same taxonomy | ||||
| City | BASKING RIDGE |
| Zip Code | 07920 |
Please comment or provide details below to improve the information on CAROLINE CLARK.
| 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.