Dafna Wild (NPI# 1174750319, PAC ID# 5890048300) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174750319 |
| PAC ID by PECOS | 5890048300 |
| Professional Enrollment ID | I20181031001470 |
| Full Name | Dafna Wild |
| Organization Legal Name | CLARK DERMATOLOGY LLC |
| Address |
703 Kearny Ave Kearny NJ 07032-3003 |
| Phone Number | 2019984699 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5395703573 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1075 Central Ave, Clark, NJ 07066-1116 | 7325741399 | CLARK DERMATOLOGY LLC |
| 703 Kearny Ave, Kearny, NJ 07032-3003 | 2019984699 | CLARK DERMATOLOGY LLC |
| 757 Teaneck Rd, Teaneck, NJ 07666-4241 | 2018373939 | CLARK DERMATOLOGY LLC |
| Organization Legal Name | CLARK DERMATOLOGY LLC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela N Beckford | Dermatology | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Richard W Urbanek | Dermatology | Clark Dermatology LLC | 1324 Victory Blvd, Staten Island, NY 10301-3917 |
| Elena Maydan | Dermatology | Clark Dermatology LLC | 703 Kearny Ave, Kearny, NJ 07032-3003 |
| Jalpa Patel | Physician Assistant | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Kristie Walton | Nurse Practitioner | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Elizabeth A Walker | Nurse Practitioner | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Matthew F. Rossano | Physician Assistant | Clark Dermatology LLC | 1324 Victory Blvd, Staten Island, NY 10301-3917 |
| Douglas J Pravda | Dermatology | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Inga Bufano | Physician Assistant | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| L Robert Smith | Dermatology | Clark Dermatology LLC | 1075 Central Ave, Clark, NJ 07066-1116 |
| Street Address |
703 KEARNY AVE |
| City | KEARNY |
| State | NJ |
| Zip | 07032-3003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elena Maydan | Dermatology | Clark Dermatology LLC | 703 Kearny Ave, Kearny, NJ 07032-3003 |
| Richard D Fox | Dermatology | Clark Dermatology LLC | 703 Kearny Ave, Kearny, NJ 07032-3003 |
| S Jose Fishman | Dermatology | Clark Dermatology LLC | 703 Kearny Ave, Kearny, NJ 07032-3003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohit Kapoor | Optometry | Advanced Eyecare 2020 | 90 Passaic Ave, Kearny, NJ 07032-1106 |
| Tadd L Campbell | Psychologist, Clinical | Medop Behavioral Health Associates of New Jersey PC | 195 Belgrove Dr, Kearny, NJ 07032-1507 |
| Edward M Killilea Ii | Cardiovascular Disease (cardiology) | 111 Grand Pl, Kearny, NJ 07032-1846 | |
| Viren Desai | Pulmonary Disease | Thoracic Medical Associates, LLC. | 221 Kearny Ave, Kearny, NJ 07032-2437 |
| Kanchana Balasubramanian | General Practice | Thoracic Medical Associates, LLC. | 221 Kearny Ave, Kearny, NJ 07032-2437 |
| Joseph Maggio Iv | Chiropractic | 267 Kearny Ave, Kearny, NJ 07032-2507 | |
| Edward S Maslansky | Optometry | 399 Kearny Ave, Kearny, NJ 07032-2603 | |
| Marissa B Israel | Optometry | 399 Kearny Ave, Kearny, NJ 07032-2603 | |
| Joshua Duffy | Chiropractic | 418 Kearny Ave, Kearny, NJ 07032-2604 | |
| Robert F Looby | Physical Therapy | 586 Kearny Ave, Kearny, NJ 07032-2615 | |
| Find all physicians in zip 07032 | |||
| City | KEARNY |
| Zip Code | 07032 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KEARNY + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.