ELANA T CLARK (NPI# 1043637184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043637184 |
| Entity Type | Individual |
| Full Name | ELANA T CLARK |
| Credential | M.D. |
| Practice Address |
74 Pascack Rd Park Ridge NJ 07656 |
| Mailing Address |
74 Pascack Rd Park Ridge NJ 07656-1935 |
| Practice Telephone | 2013267120 |
| Mailing Telephone | 2013267120 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25MA10092600 | NJ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Community Dr, Manhasset, NY 110303816 | 5165620100 |
| Street Address |
74 PASCACK RD |
| City | PARK RIDGE |
| State | NJ |
| Zip Code | 07656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396720769 | Jeffrey Gewirtz | Podiatrist | 74 Pascack Rd, Suite 6, Park Ridge, NJ 07656-1935 | 2005-12-08 |
| 1295184471 | Madeleine Sophie Quinn | Podiatrist | 74 Pascack Rd, Park Ridge, NJ 07656-1935 | 2016-06-08 |
| 1356785075 | Lee H Greenberg | Podiatrist | 74 Pascack Rd, Park Ridge, NJ 07656-1935 | 2013-04-24 |
| 1538341078 | Michael D. Weinthal D.p.m. | Podiatrist | 74 Pascack Rd, Suite 6, Park Ridge, NJ 07656-1935 | 2007-11-27 |
| 1255533485 | Sonia Vulakh | Dentist | 74 Pascack Rd, Suite 8, Park Ridge, NJ 07656-1935 | 2007-06-01 |
| 1184793960 | Stephen M Fisher | Dentist | 74 Pascack Rd, Suite 11, Park Ridge, NJ 07656-1942 | 2006-11-07 |
| 1861593881 | Lina M Lopez | Psychiatry & Neurology | 74 Pascack Rd, Suite 2, Park Ridge, NJ 07656-1935 | 2006-09-25 |
| 1205889045 | Salvatore Licciardone | Family Medicine | 74 Pascack Rd, Park Ridge, NJ 07656-1935 | 2006-05-19 |
| 1023087533 | Robin Yonna Feigelis | Internal Medicine | 74 Pascack Rd, Suite 10, Park Ridge, NJ 07656-1942 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168326 | Cynthia J. Blake | Social Worker | Pascack Mental Health, 114 Kinderkamack Road, Park Ridge, NJ 07656 | 2019-05-01 |
| 1396251500 | Tocia Floris | Licensed Practical Nurse | 2 Lorraine Drive, Park Ridge, NJ 07656 | 2017-12-26 |
| 1528505625 | Sonal Desai | Registered Nurse | 2 Williams Crest, Park Ridge, NJ 07656 | 2017-01-26 |
| 1871960484 | Dr. Mark Schwartz, P.a. | Clinic/Center | 308 Chelsea Manor, Park Ridge, NJ 07656 | 2015-08-31 |
| 1871767194 | Arnold M. Sobel | Anesthesiology | 210 Bearwoods Road, Park Ridge, NJ 07656 | 2008-04-17 |
| 1548472145 | Deborah Renee Brodt Donnelly | Social Worker | 284 Spring Valley Rd, Park Ridge, NJ 07656 | 2007-05-04 |
| 1720204720 | Alan Zampieri | Pharmacist | 713 Butternut Dr, Franklin Lakes, NJ 07656 | 2007-04-18 |
| 1689790198 | Anthony M Riotto | Chiropractor | 128 Kinderkamack Road, Park Ridge, NJ 07656 | 2007-03-22 |
| 1063584605 | Christine M Ramagnano | Social Worker | 116 Warren Road, Park Ridge, NJ 07656 | 2006-11-15 |
| 1649647488 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 199 Kinderkamack Rd, Park Ridge, NJ 07656 | 2015-08-27 |
| Find all providers in zip 07656 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164050670 | Sruti Uppuluri | Pediatrics | 1675 Dempster St Ste 330, Park Ridge, IL 60068-1110 | 2020-03-30 |
| 1255701090 | Aurea Thomas | Pediatrics | 1704 S Vine Ave, Park Ridge, IL 60068-5421 | 2015-10-06 |
| 1194981555 | Lisa Beth Gelman | Pediatrics | 1675 Dempster, Park Ridge, IL 60068-1110 | 2008-08-04 |
| 1306055033 | Donald H Wolmer | Pediatrics | 10 Fox Hollow, Park Ridge, NJ 07656-2602 | 2007-05-21 |
| 1740299288 | Kristin L. Lundblad | Pediatrics | 101 S. Washington, Suite 122, Park Ridge, IL 60068 | 2006-08-05 |
| 1225063977 | Frank William Belmonte | Pediatrics | 1674 W Dempster, First Floor, Park Ridge, IL 60068 | 2006-07-11 |
| 1336170554 | Elisabeth L Mehta | Pediatrics | 101 S Washington, Suite 122, Park Ridge, IL 60068 | 2006-07-05 |
| 1619936143 | Susan Elizabeth Crawford | Pediatrics | 1675 W Dempster St, Park Ridge, IL 60068-1110 | 2006-03-22 |
| 1417932526 | David G Thoele | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2005-12-12 |
| 1356342398 | Marc J Ovadia | Pediatrics | 1675 Dempster Street, Park Ridge, IL 60068 | 2005-08-01 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 07656 |
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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.