ELSA JIMENEZ CLARK (NPI# 1770589343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770589343 |
| Entity Type | Individual |
| Full Name | ELSA JIMENEZ CLARK |
| Credential | M.D. |
| Practice Address |
1259 Wantagh Ave Wantagh NY 11793-2205 |
| Practice Telephone | 5162217971 |
| Practice Fax Number | 5162218117 |
| Mailing Telephone | 5162217971 |
| Mailing Fax Number | 5162218117 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2008-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 186750 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124208319 | Elsa Marie Clark | Physical Therapist | 595 N Courtenay Pkwy, 203, Merritt Island, FL 32953-4851 | 2007-11-06 |
| Street Address |
1259 WANTAGH AVE |
| City | WANTAGH |
| State | NY |
| Zip Code | 11793-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829476 | Valencia Reid | Social Worker | 1259 Wantagh Ave, Wantagh, NY 11793-2205 | 2020-07-31 |
| 1972122570 | Patrice Schultz | Social Worker | 1259 Wantagh Ave, Wantagh, NY 11793-2205 | 2020-04-14 |
| 1417590878 | Alisha Contreras | Social Worker | 1259 Wantagh Ave, Wantagh, NY 11793-2205 | 2019-10-17 |
| 1376957654 | Work In Progress Therapeutic Services Lcsw P.l.l.c | Social Worker | 1259 Wantagh Ave, Wantagh, NY 11793-2205 | 2014-06-16 |
| 1952673261 | Elsa J Clark Md | Internal Medicine | 1259 Wantagh Ave, Wantagh, NY 11793-2205 | 2012-02-01 |
| 1508097437 | Cherylann Mccalla | Social Worker | 1259 Wantagh Ave, Wantagh, NY 11793-2205 | 2009-07-27 |
| 1700825692 | Robert H Clark Md Pllc | Specialist | 1259 Wantagh Ave, Wantagh, NY 11793-2205 | 2006-06-06 |
| 1932106408 | Robert Henry Clark | Internal Medicine | 1259 Wantagh Ave, Wantagh, NY 11793-2205 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134765548 | Wantagh Pharmacy Inc | Pharmacy | 1165 Wantagh Ave, Wantagh, NY 11793 | 2019-11-20 |
| 1003356007 | Mansi Barai | Early Intervention Provider Agency | 1555 Jennie Road, Wantagh, NY 11793 | 2017-02-24 |
| 1659729077 | Lauren Kronowitz | Chiropractor | 1400 Wantagh Ave Ste 209, Wantagh, NY 11793 | 2016-05-26 |
| 1508223835 | Sheetal Nair | Behavior Technician | 10 Old Jerusalem Rd, Wantagh, NY 11793 | 2016-01-18 |
| 1982942272 | Comprehensive Mri of New York, P.C. | Clinic/Center | 1165 Wantagh Avenue, Wantagh, NY 11793 | 2013-01-22 |
| 1396009189 | Jacqueline Raffaele | Social Worker | 3375 Park Ave Ste 4001, Wantagh, NY 11793 | 2012-06-27 |
| 1700152493 | Rosalind Kay Safir | Speech-Language Pathologist | 2850 North Jerusalem Rd, Wantagh, NY 11793 | 2012-03-27 |
| 1902174675 | Stacey Lee Barrett | Registered Nurse | 2250 Northjerusalem Road, Nassau Boces Cca, Wantagh, NY 11793 | 2011-12-08 |
| 1760705917 | Joseph Hoffman | Pharmacist | 646 Wantagh Avenue, Wantagh, NY 11793 | 2010-03-02 |
| 1003146119 | Maryhaven Center of Hope Inc. | Community/Behavioral Health | 2957 Burns Avenue, Wantagh, NY 11793 | 2010-01-12 |
| Find all providers in zip 11793 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578924031 | Jenifer Kramer Md PC | Internal Medicine | 3375 Park Ave Ste 2003, Wantagh, NY 11793-3712 | 2016-03-11 |
| 1053490912 | Eric Robert Barth | Internal Medicine | 2155 Wantagh Ave, Wantagh, NY 11793-3915 | 2006-11-03 |
| 1528097367 | Eric C Last | Internal Medicine | 2857 Jerusalem Ave, Wantagh, NY 11793-2018 | 2006-07-02 |
| 1659309920 | Sachin Kamath | Internal Medicine | 3541 Jerusalem Ave, Wantagh, NY 11793-2005 | 2006-06-28 |
| 1376544981 | Jenifer Kim Kramer | Internal Medicine | 3375 Park Ave, Suite 2003, Wantagh, NY 11793-3733 | 2005-08-04 |
| 1447686860 | Chs Physician Partners | Internal Medicine | 2155 Wantagh Ave, Wantagh, NY 11793-3915 | 2013-09-17 |
| 1952673261 | Elsa J Clark Md | Internal Medicine | 1259 Wantagh Ave, Wantagh, NY 11793-2205 | 2012-02-01 |
| 1306012489 | Bellmore-wantagh Adult Medicine, Pllc | Internal Medicine | 2857 Jerusalem Ave, Wantagh, NY 11793-2018 | 2008-05-07 |
| 1104807130 | Michael C Barth | Internal Medicine | 1488 Wantagh Ave, Wantagh, NY 11793-2204 | 2005-11-08 |
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| 1295348019 | Vault Medical Group Pa | Internal Medicine | 133 E 58th St Ste 512, New York, NY 10022-1145 | 2020-08-31 |
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| Find all providers with the same taxonomy | ||||
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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.