ALEX CLARK (NPI# 1760922041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760922041 |
| Entity Type | Individual |
| Full Name | ALEX CLARK |
| Credential | FNP-BC, RN |
| Practice Address |
4196 Park Ave Bronx NY 10457-6009 |
| Practice Telephone | 7184661573 |
| Practice Fax Number | 7184661585 |
| Mailing Telephone | 7184661573 |
| Mailing Fax Number | 7184661585 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
720899-1 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
343460 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 262 E 174th St, Bronx, NY 104577152 | 7187342539 | |
| 420 W 206th St Apt 6h, New York, NY 100343633 | 9179693349 | |
| 966 Prospect Ave, Bronx, NY 104593270 | 7187342539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721426 | Alex Clark | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774-7277 | 2019-07-11 |
| 1447818356 | Alex Scott Clark | Case Manager/Care Coordinator | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2019-06-05 |
| Street Address |
4196 PARK AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10457-6009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
| Find all providers in zip 10457 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1659986701 | Yvette Rosemary Veras | Nurse Practitioner | 3400 Paul Ave Apt 20h, Bronx, NY 10468-1015 | 2020-09-14 |
| 1740894302 | Ajirioghene Ojadi | Nurse Practitioner | 100 Casals Pl Apt 6b, Bronx, NY 10475-3007 | 2020-09-01 |
| 1225641129 | Nancilyma Aidoo | Nurse Practitioner | 1880 Lafayette Ave Apt 20e, Bronx, NY 10473-2721 | 2020-08-28 |
| 1639780679 | Julia Donahue | Nurse Practitioner | 860 Grand Concourse Apt 7h, Bronx, NY 10451-2818 | 2020-08-13 |
| 1053920348 | Genesis Castro | Nurse Practitioner | 2194 Barnes Ave Apt A9, Bronx, NY 10462-1929 | 2020-07-23 |
| 1356969299 | Antoinette G Palmer | Nurse Practitioner | 4015 Wilder Ave, Bronx, NY 10466-2328 | 2020-07-07 |
| 1932726528 | Beena Dacosta | Nurse Practitioner | 3725 Blackstone Avenue, Apt 7e, Bronx, NY 10463 | 2020-06-29 |
| 1124640792 | Violet Nkasiobi Nnaemeka | Nurse Practitioner | 2420 Westchester Ave, Bronx, NY 10461-3569 | 2020-05-17 |
| 1033731260 | Diane Loubeau | Nurse Practitioner | 944 E 233rd St, Bronx, NY 10466-3218 | 2020-05-11 |
| Find all providers in BRONX | ||||
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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.