MR. EMEREGILDO MAXIMO CLARK JR. (NPI# 1063913903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063913903 |
| Entity Type | Individual |
| Full Name | MR. EMEREGILDO MAXIMO CLARK JR. |
| Credential | MPH |
| Practice Address |
546 Eastern Pkwy Brooklyn NY 11225-1604 |
| Mailing Address |
64 Baldwin Rd Hempstead NY 11550-6232 |
| Practice Telephone | 3475152340 |
| Mailing Telephone | 5166553346 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | NY | Other Service Providers |
| Street Address |
546 EASTERN PKWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11225-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699722587 | Louis Erwin Lerebours | Obstetrics & Gynecology | 546 Eastern Pkwy, Brooklyn, NY 11225-1604 | 2006-05-27 |
| 1295363968 | Shade Onyema Mckissick Ibe | Health Educator | 546 Eastern Pkwy, Brooklyn, NY 11225-1604 | 2020-03-30 |
| 1023649217 | Kyle R Bailey | Registered Nurse | 546 Eastern Pkwy, Brooklyn, NY 11225-1604 | 2020-01-28 |
| 1962045963 | Joseph Silva | Social Worker | 546 Eastern Pkwy, Brooklyn, NY 11225-1604 | 2019-10-22 |
| 1427608066 | Segal Lisa Rabinowitz | Social Worker | 546 Eastern Pkwy, Brooklyn, NY 11225-1604 | 2019-09-16 |
| 1194281691 | Mohanne Monica Charles | Social Worker | 546 Eastern Pkwy, Brooklyn, NY 11225-1604 | 2019-02-20 |
| 1861957854 | Mona Meng | Social Worker | 546 Eastern Pkwy, Brooklyn, NY 11225-1604 | 2019-02-05 |
| 1639671845 | Nicole Browne-jones | Health Educator | 546 Eastern Pkwy, Brooklyn, NY 11225-1604 | 2018-03-03 |
| 1942731187 | Thu Trinh | Nurse Practitioner | 546 Eastern Pkwy, Brooklyn, NY 11225-1604 | 2017-03-21 |
| 1669843371 | Ruth Bosse | Physician Assistant | 546 Eastern Pkwy, Brooklyn, NY 11225-1604 | 2015-10-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912533761 | Mona Joseph | Registered Nurse | 1141 Carroll St, Brooklyn Ny 11225, 1141 Carroll St, Brooklyn, NY 11225 | 2020-03-12 |
| 1144889924 | Healthy Smiles Pediatric Dentistry Pllc | Dentist | 540 East New York Avenue, Brooklyn, NY 11225 | 2019-06-06 |
| 1972169969 | Brendy Y Alofe | Licensed Practical Nurse | 49 Crown Street, #8k, Brooklyn, NY 11225 | 2019-05-15 |
| 1912479676 | Michael Thompson | Licensed Practical Nurse | 381 E New York Ave, Brooklyn, NY 11225 | 2018-12-19 |
| 1891241592 | Jeffery Conrad Lawrence | Psychiatry & Neurology | 573 East New York Ave., Apt 1, Brooklyn, NY 11225 | 2016-09-01 |
| 1629462437 | Maria Gonzalo | Social Worker | 29 Rutland Road, Brooklyn, NY 11225 | 2015-03-19 |
| 1700297041 | Chaya Kaufmann | Registered Nurse | 301 Sullivan Place, Apt 4m, Brooklyn, NY 11225 | 2014-05-08 |
| 1629491337 | Lawanna Mackie | Social Worker | 915 Washington Ave., Apt. 1b, Brooklyn, NY 11225 | 2014-01-31 |
| 1003238239 | Elizabeth Obiamaka Obiora I | Licensed Practical Nurse | 140 E New York Ave, 4-f, Brooklyn, NY 11225 | 2014-01-07 |
| 1770928970 | Jonathan Kogen Phd PC | Psychologist | 169 Sterling Street, Brooklyn, NY 11225 | 2013-05-02 |
| Find all providers in zip 11225 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162665 | Celeste Pinkston | Health Educator | 2415 Newkirk Ave Apt 3j, Brooklyn, NY 11226-7633 | 2020-10-20 |
| 1598379554 | Maureen Rene | Health Educator | 3601 Avenue J Apartment C6, Brooklyn, NY 11210 | 2020-09-06 |
| 1790303188 | Desrene James | Health Educator | 1623 Utica Ave, Brooklyn, NY 11234-1524 | 2020-07-11 |
| 1538709621 | Esther Stareshefsky | Health Educator | 1258 E 7th St, Brooklyn, NY 11230-4004 | 2020-01-07 |
| 1780223586 | Gisella Ponce | Health Educator | 1495 E 58th St, Brooklyn, NY 11234-4121 | 2019-12-27 |
| 1407409139 | Ruchel Feige Rubinstein | Health Educator | 1758 44th St, Brooklyn, NY 11204-1050 | 2019-07-22 |
| 1306499587 | Janice Mclean | Health Educator | 270 E 42nd St, Brooklyn, NY 11203-4000 | 2019-07-17 |
| 1023579331 | Ot Can PC. | Health Educator | 1105 Madison St Apt 4c, Brooklyn, NY 11221-4968 | 2019-03-28 |
| 1184196685 | Michelle Maria Jackson | Health Educator | 220 E 89th St, Brooklyn, NY 11236-1418 | 2018-12-20 |
| 1699240820 | Apc Community Services | Health Educator | 270 E 42nd St Ofc, Brooklyn, NY 11203-4000 | 2018-10-03 |
| Find all providers in BROOKLYN | ||||
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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.