MS. VICTORIA CLARK (NPI# 1053764076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053764076 |
| Entity Type | Individual |
| Full Name | MS. VICTORIA CLARK |
| Credential | PA-C |
| Practice Address |
1 Robert Wood Johnson Pl Room 396 New Brunswick NJ 08901-1928 |
| Practice Telephone | 7322355699 |
| Practice Fax Number | 7322355668 |
| Mailing Telephone | 7322355699 |
| Mailing Fax Number | 7322355668 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00399100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609399427 | Victoria Regina Clark | Physician Assistant | 113 Sutton Dr, Berkeley Heights, NJ 07922-2510 | 2017-07-24 |
| 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 |
| 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 |
1 ROBERT WOOD JOHNSON PL ROOM 396 |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243375 | Robert Wood Johnson University Hospital, Inc | General Acute Care Hospital | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2005-05-23 |
| 1902405640 | Ellena Curden | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-10-23 |
| 1659979912 | Wen Liu | Nurse Practitioner | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-10-09 |
| 1255938700 | Dashmeet Singh | Nurse Practitioner | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-10-07 |
| 1801403977 | Sarah Medhat Labib | Pharmacist | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-09-23 |
| 1639783830 | Sara R Owen | Nurse Practitioner | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-09-04 |
| 1265046379 | James Pimentel | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-09-04 |
| 1356952295 | Xinyuan Hu | Pharmacist | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-08-13 |
| 1215547716 | Sean Michael Etheridge | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-08-09 |
| 1497372841 | Benjamin Jared Lichtbroun | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851491625 | Michelle Lynne Mcweeney | Physician Assistant | 24 Abeel Street, New Brunswick, NJ 08901 | 2006-09-22 |
| 1184912701 | Christina Tesoriero | Physician Assistant | 254 Easton Avenue, St. Peter's University Hospital, New Brunswick, NJ 08901 | 2011-07-17 |
| 1982906301 | Tosha Patel | Physician Assistant | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2010-11-18 |
| 1720239585 | Jennifer Figueroa | Physician Assistant | 24 Abeel St, New Brunswick, NJ 08901-1303 | 2008-10-09 |
| 1699839670 | Amelia Benka-coker | Physician Assistant | 1 Robert Wood Johnson Place, New Brunswick, NJ 08901 | 2006-12-21 |
| 1538222666 | Dipali K Yeh | Physician Assistant | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 | 2006-12-19 |
| 1952464794 | Gregory Pierson | Physician Assistant | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 | 2006-12-19 |
| 1760598338 | Carol M Harnett | Physician Assistant | 1 Robert Wood Johnson Pl, Med 104, New Brunswick, NJ 08901-1928 | 2006-08-23 |
| 1104804939 | Robert Lamare | Physician Assistant | 1 Robert Wood Johnson Pl, Dept. of Emergency Medicine, New Brunswick, NJ 08901-1928 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1427660810 | Lauren Colacicco | Physician Assistant | 406 Nj-23 North, Franklin, NJ 07416 | 2020-08-18 |
| 1912525353 | Thy T Pham | Physician Assistant | 2 Capital Way Ste 407, Pennington, NJ 08534-2521 | 2020-07-13 |
| 1982226270 | Alexandra Bellisario | Physician Assistant | 7 Normandy Pl, Colts Neck, NJ 07722-1174 | 2020-05-11 |
| 1497394266 | Trevor Paul | Physician Assistant | 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 | 2019-12-27 |
| 1295371003 | Sujin Kim | Physician Assistant | 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 | 2019-11-27 |
| 1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1245871334 | Terrell Amanda Collins | Physician Assistant | 76 W Jimmie Leeds Rd Ste 201, Galloway, NJ 08205-9417 | 2019-10-01 |
| 1013561422 | Adrienne Lauren Rinaldi | Physician Assistant | 1400 State Highway 70, Relievus, Cherry Hill, NJ 08034-0000 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
Please comment or provide details below to improve the information on MS. VICTORIA 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.