KEVIN O. CLARKE (NPI# 1598789265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598789265 |
| Entity Type | Individual |
| Full Name | KEVIN O. CLARKE |
| Credential | M.D. |
| Practice Address |
90 Bergen St Doc 7100 Newark NJ 07103-2425 |
| Mailing Address |
30 Bergen St Admc 12 1205 Newark NJ 07107-3000 |
| Practice Telephone | 9739722400 |
| Practice Fax Number | 9739722988 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2009-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
25MA07226400 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811025489 | Kevin Richard Clarke | Pediatrics | 505 Parnassus Ave., M691, San Francisco, CA 94143-0110 | 2007-03-02 |
| 1487664835 | Kevin M Clarke | Emergency Medicine | 48 Vip Way, Fairmont, WV 26554 | 2006-08-08 |
| 1063475432 | Kevin Clarke | Physician Assistant | 333 Madison St, Joliet, IL 60435-8200 | 2006-04-07 |
| Street Address |
90 BERGEN ST DOC 7100 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285623074 | Karen Virginia Valdez-gonzalez | Genetic Counselor, MS | 90 Bergen St, Doctors Office Center - Suite 5400, Newark, NJ 07103-2425 | 2005-10-14 |
| 1134758816 | Elizabeth Elaine Ginalis | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2020-04-05 |
| 1003462854 | University Surgical Associates (om) | Transplant Surgery | 90 Bergen St, Newark, NJ 07103-2425 | 2019-08-16 |
| 1528614021 | Special LLC | Plastic Surgery | 90 Bergen St, Newark, NJ 07103-2425 | 2019-08-12 |
| 1265993216 | Sean Michael Munier | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2019-03-30 |
| 1629539861 | Ali Tayebi Meybodi | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2019-03-29 |
| 1497214282 | Brandon Khoa Nguyen | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2019-03-19 |
| 1649776790 | Purvee D Patel | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2018-04-05 |
| 1740716703 | Elena Solli | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Doctor's Office Center, Neurological Surgery Dept., Newark, NJ 07103-2425 | 2017-05-11 |
| 1881120954 | Ivo Bach | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Suite 5200, Newark, NJ 07103-2425 | 2017-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902125701 | Atuhani Seth Burnett | Surgery | 150 Bergen Street, Suite E-401, Newark, NJ 07101 | 2010-05-19 |
| 1912437997 | Ogori N Kalu Md | Surgery | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2017-06-13 |
| 1427054857 | Greg Randolph Pahnke | Surgery | 4701 Ogletown Stanton Rd, Ste 1340, Newark, DE 19713-2055 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124336623 | Sang M Lee, Md Pa | Surgery | 65 Mountain Blvd Ext., Suite 206, Warren, NJ 07059-2633 | 2010-09-17 |
| 1376785360 | Vadim P Koshenkov | Surgery | 195 Little Albany St Ste 3001, New Brunswick, NJ 08901-1914 | 2009-04-06 |
| 1699927566 | Thomas Lee Jang | Surgery | 195 Little Albany Street, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08903 | 2008-10-22 |
| 1265690549 | Richard Stockton Weeder | Surgery | 45 Green Ave, Lawrenceville, NJ 08648-1623 | 2008-05-23 |
| 1275708067 | John Alkhas | Surgery | 38 Sawgrass St, Jackson, NJ 08527-4023 | 2008-04-23 |
| 1700086360 | Ames Lawrence Filippone Jr. | Surgery | 22 Hilltop Cir, Morristown, NJ 07960-6328 | 2007-07-23 |
| 1396758983 | Sang M Lee | Surgery | 65 Mountain Blvd. Ext., Suite 206, Warren, NJ 07059-2633 | 2006-08-14 |
| 1962421339 | Martin S Karpeh | Surgery | 20 Prospect Ave Suite 406, Hackensack Umc, Hackensack, NJ 07601 | 2006-07-18 |
| 1083665053 | Thangamani Seenivasan | Surgery | 30 Rehill Avenue, Suite 3400, Somerville, NJ 08876-2500 | 2006-05-15 |
| 1255876793 | Joseph S. Raccuia Md P.C. | Surgery | 228 Park Ave, Hoboken, NJ 07030-3794 | 2016-12-19 |
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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.