DR. MATTHEW CLARK


Address: 1468 Madison Avenue, Annenberg Building 2nd Floor, New York, NY 10029
Phone: 2122415600

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).

Provider Overview

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

Taxonomy

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

Other Providers MATTHEW CLARK

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

Office Location

Street Address 1468 MADISON AVENUE
ANNENBERG BUILDING 2ND FLOOR
City NEW YORK
State NY
Zip Code 10029

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City NEW YORK
Zip Code 10029

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Dataset Information

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.

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