CARMEN ELENA CLARK (NPI# 1154523652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154523652 |
| Entity Type | Individual |
| Full Name | CARMEN ELENA CLARK |
| Credential | IBCLC, RLC |
| Practice Address |
324 Edgewood Ave Teaneck NJ 07666-3021 |
| Practice Telephone | 2018377646 |
| Practice Fax Number | 2013537936 |
| Mailing Telephone | 2018377646 |
| Mailing Fax Number | 2013537936 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | IBCLC NUMBER | 105-21643 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124463450 | Carmen Michelle Clark | Developmental Therapist | 7302 Meadow Rd, Crestwood, KY 40014-9453 | 2013-04-30 |
| 1245254986 | Carmen Beth Clark | Speech-Language Pathologist | 29 N Academy St, Greenville, SC 29601-2629 | 2006-07-26 |
| Street Address |
324 EDGEWOOD AVE |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1609323633 | Rosalyn Merita Childs | Specialist | 325 Locust St, Teaneck, NJ 07666-4003 | 2016-09-07 |
| 1528476041 | Olivia Bondarsky | Specialist | 17 Westgate Rd Apt A, A, Teaneck, NJ 07666-5044 | 2014-07-28 |
| 1588076756 | Johanna Lee | Specialist | 870 Palisade Ave Ste 301, Teaneck, NJ 07666 | 2014-05-22 |
| 1376977942 | Cynthia Adele Mullins | Specialist | 965 E Lawn Dr, Teaneck, NJ 07666-6604 | 2013-08-30 |
| 1598198095 | Nieves Lara-delgado | Specialist | 293 Highwood Ave, Teaneck, NJ 07666-3217 | 2013-08-20 |
| 1194076174 | Adalgisa Pichardo | Specialist | 677 Penn Ave, Teaneck, NJ 07666-1610 | 2012-10-01 |
| 1598012643 | Deborah Rebecca Douek | Specialist | 1262 Emerson Ave, Teaneck, NJ 07666-2863 | 2012-08-08 |
| 1679838072 | Denise Sanders | Specialist | 739 Queen Anne Rd, Teaneck, NJ 07666-3332 | 2012-07-11 |
| Find all providers in TEANECK | ||||
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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.