VICTORIA REGINA CLARK (NPI# 1609399427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609399427 |
| Entity Type | Individual |
| Full Name | VICTORIA REGINA CLARK |
| Credential | PA-C |
| Practice Address |
113 Sutton Dr Berkeley Heights NJ 07922-2510 |
| Practice Telephone | (908) 723-5596 |
| Mailing Telephone | 9087235596 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730567082 | Victoria Ann Clark | Counselor | 4300 Sw Sw 13th Street, Gainesville, FL 32608 | 2015-05-07 |
| 1487073052 | Victoria Clark | Counselor | 1319 Brown St, Martinez, CA 94553-1924 | 2014-04-10 |
| 1215588462 | Victoria Clark | Advanced Practice Midwife | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-09-27 |
| 1972153757 | Victoria Ann Clark | Counselor | 1840 Bragaw St Ste 110, Anchorage, AK 99508-3463 | 2019-09-13 |
| 1205494275 | Victoria Clark | Occupational Therapist | 550 Saint Charles Dr Ste 100, Thousand Oaks, CA 91360-3969 | 2019-06-04 |
| 1568924082 | Victoria Clark | Registered Nurse | 125 W Mission Ave, Escondido, CA 92025-1720 | 2019-04-03 |
| 1831614494 | Victoria Lea Clark | Case Manager/Care Coordinator | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2017-08-04 |
| 1053764076 | Victoria Clark | Physician Assistant | 1 Robert Wood Johnson Pl, Room 396, New Brunswick, NJ 08901-1928 | 2016-07-14 |
| 1346699733 | Victoria E Clark | Neurological Surgery | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2016-06-07 |
| 1457705915 | Victoria Lee Clark | Dietitian, Registered | Va San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA 92161-0001 | 2016-04-20 |
| Street Address |
113 SUTTON DR |
| City | BERKELEY HEIGHTS |
| State | NJ |
| Zip Code | 07922-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962920579 | Dylan Nessenson | Specialist/Technologist | 44 Branko Road, Berkeley Heights, NJ 07922 | 2017-09-04 |
| 1750807574 | Elite Care Physical Therapy PC | Physical Therapist | 10 Summit Ave Ste 6, Berkeley Heights, NJ 07922 | 2017-08-15 |
| 1124424619 | All Dental Arts PC | Dentist | 559 Plainfield Avenue, Berkeley Heights, NJ 07922 | 2014-11-10 |
| 1972871598 | Shivaji Gajanan Phadke | Pharmacist | 40 Holly Glen Lane North, Berkeley Heights, NJ 07922 | 2011-12-09 |
| 1265745111 | Jain Joseph | Surgery | 1 Diamond Hill Rd Fl 1, Berkeley Heights, NJ 07922 | 2010-07-21 |
| 1194983411 | Henry Peter Schwerner | Pediatrics | 115 Wentworth Drive, Berkeley Heights, NJ 07922 | 2008-05-23 |
| 1215158076 | Mark Durante | Dentist | 261 Springfield Avenue, Suite 203, Berkeley Heights, NJ 07922 | 2007-05-01 |
| 1306989785 | Gayle M Coakley | Marriage & Family Therapist | 230 Sherman Ave Ste 10, Berkeley Heights, NJ 07922 | 2007-02-15 |
| 1275670507 | Patrick Rafferty Smith | Chiropractor | 134 Snyder Avenue, Berkeley Heights, NJ 07922 | 2007-01-30 |
| 1447315015 | Barbara Schoenberg | Social Worker | 310 Springfield Ave, Suite 165, Berkeley Heights, NJ 07922 | 2006-12-26 |
| Find all providers in zip 07922 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501976 | Thomas Gerald Corbo | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2020-09-04 |
| 1811558026 | Robert Antunes Vagueiro | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-06-27 |
| 1194287490 | Stephanie Pierre-pierre | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-04-04 |
| 1871071720 | Taylor Danielle Bisceglia | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2018-08-02 |
| 1295227064 | Shelby Parrish | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2018-06-06 |
| 1720570591 | Megan Aurore Mcintyre | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 | 2018-06-06 |
| 1912413113 | Jennifer Rulka | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2017-12-26 |
| 1518499078 | Louise Bernardon | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2017-04-03 |
| 1184161903 | Meagan Lynch | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2017-01-31 |
| 1699147363 | Jacqueline Yousef | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2015-10-21 |
| Find all providers in BERKELEY HEIGHTS | ||||
| City | BERKELEY HEIGHTS |
| Zip Code | 07922 |
Please comment or provide details below to improve the information on VICTORIA REGINA 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.