DR. MATTHEW CLARK (NPI# 1396905188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396905188 |
Entity Type | Individual |
Full Name | DR. MATTHEW CLARK |
Credential | DDS, MD |
Practice Address |
1468 Madison Avenue Annenberg Building 2nd Floor New York NY 10029 |
Mailing Address |
19 Pine Ln Cortlandt Manor NY 10567-5903 |
Practice Telephone | 2122415600 |
Mailing Telephone | (920) 312-1833 |
Enumeration Date | 2008-06-15 |
Last Update Date | 2017-05-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
057328 | NY | Dental Providers |
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
11099 | CT | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033578653 | Matthew Mitchell Clark | Student in an Organized Health Care Education/Training Program | 2644 Crystal Falls Rd, Lexington, KY 40509-4208 | 2016-02-11 |
1154787844 | Matthew Clark | Chiropractor | 5250 S Commerce Dr Ste 155, Murray, UT 84107-5379 | 2016-01-11 |
1811001126 | Matthew David Ayers Clark | Psychologist | 7150 Kalamazoo Ave Se, Ste C, Caledonia, MI 49316-9126 | 2006-08-17 |
1215993308 | Matthew Alexander Clark | Internal Medicine | Ute Mountain Ute Health Center, Complex B Rustling Willow Street, Towaoc, CO 81334-0049 | 2006-04-26 |
1407341134 | Matthew Howard Clark | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905 | 2018-06-25 |
1639674591 | Matthew Anthony Clark | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3134 | 2018-03-24 |
1588104913 | Matthew Louis Clark | Pharmacist | 4747 Sawmill Rd, Columbus, OH 43220-2490 | 2017-03-04 |
1679949184 | Matthew Clark | Optometrist | 2792 E 146th St, Carmel, IN 46033-7718 | 2015-08-19 |
1902288806 | Matthew Lewis Clark | Dermatology | 8245 Holly Rd Ste 101, Grand Blanc, MI 48439-2443 | 2015-06-26 |
1417353996 | Matthew Clark | Counselor | 360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700 | 2014-11-12 |
Street Address |
1468 MADISON AVENUE ANNENBERG BUILDING 2ND FLOOR |
City | NEW YORK |
State | NY |
Zip Code | 10029 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902838030 | Eva A Waite | Internal Medicine | 1468 Madison Avenue, New York, NY 10029 | 2006-07-07 |
1679003255 | Msc Oral Surgery PC | Dentist | 1468 Madison Avenue, Annenberg Building 2nd Floor, New York, NY 10029 | 2017-06-15 |
1255878427 | Hany Youssef | Physician Assistant | 1468 Madison Avenue, Department of General Surgery, New York, NY 10029 | 2017-01-26 |
1245774355 | Jake Kim | Nurse Practitioner | 1468 Madison Avenue, Box 1495, New York, NY 10029-6574 | 2016-12-08 |
1730567538 | John David Paulsen Jr. | Pathology | 1468 Madison Avenue, Annenberg Suite 15-38a, New York, NY 10029-6574 | 2015-05-12 |
1275974594 | Danielle Faershtein | Nurse Practitioner | 1468 Madison Avenue, 3rd Floor, New York, NY 10029-6574 | 2013-07-15 |
1710229505 | Laura Katherine Stein | Psychiatry & Neurology | 1468 Madison Avenue, Annenberg Building, 2nd Floor, New York, NY 10029 | 2013-03-20 |
1962786582 | Andrea Yuzuk | Physician Assistant | 1468 Madison Avenue, New York, NY 10029-6508 | 2011-09-30 |
1144547787 | Elaine Patricia Lin | Pediatrics | 1468 Madison Avenue, 4th Floor, New York, NY 10029-6574 | 2010-04-21 |
1083798300 | Jill Posa | Occupational Therapist | 1468 Madison Avenue, New York, NY 10029 | 2006-10-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
Find all providers in zip 10029 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053921643 | Upper West Side Oral & Maxillofacial Surgery | Dentist | 140 W 69th St Ph 1g, New York, NY 10023-5173 | 2020-08-07 |
1467092965 | Nyc Implant and Oral Surgery PC | Dentist | 30 E 60th St Ste 907, New York, NY 10022-1058 | 2020-01-13 |
1205344819 | Ray Cheng Dds | Dentist | 217 Park Row Ste 4b, New York, NY 10038-1101 | 2018-01-17 |
1235541038 | Azaz Awan | Dentist | 335 Malcolm X Blvd, New York, NY 10027-3703 | 2014-05-28 |
1699196329 | Majid Jamali, Dmd, P.C. | Dentist | 42 Broadway Ste 1501, New York, NY 10004-1617 | 2013-12-24 |
1518268739 | Abdul Basit Karim | Dentist | 1111 Amsterdam Ave # 205, St. Luke's-roosevelt Hospital Center, New York, NY 10025-1716 | 2010-11-04 |
1134356157 | Anayo Obi Adachie | Dentist | 10 Union Sq E Ste 5b, New York, NY 10003-3314 | 2009-06-17 |
1598991044 | Leslie Abraham | Dentist | 200 E 57th St, Apt 5j, New York, NY 10022-2860 | 2009-06-10 |
1316173537 | Jennifer Frangos | Dentist | 13 W 13th St Apt 5bs, Oral & Maxillofacial Surgery, New York, NY 10011-8122 | 2009-06-02 |
1821223041 | Marcello Guglielmi | Dentist | 1775 Grand Councourse, 6 Th Floor, Bronx-lebanon Hospital Center, New York, NY 10453 | 2009-05-18 |
Find all providers in NEW YORK |
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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.