ELAINE CLARKE (NPI# 1497763171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497763171 |
| Entity Type | Individual |
| Full Name | ELAINE CLARKE |
| Credential | MD |
| Practice Address |
235 Port Richmond Avenue Staten Island NY 10302-1701 |
| Practice Telephone | 7189242256 |
| Practice Fax Number | 7184420189 |
| Mailing Telephone | 7189242256 |
| Mailing Fax Number | 7184420189 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2012-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 179996 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AMERIGROUP | 01178778 | 01 |
| NY | UNITEDHEALTH CARE OXFORD | P4364657 | 01 |
| NY | NEIGHBORHOOD | 017999601 | 01 |
| NY | HEALTHCARE PARTNERS | 179996P | 01 |
| NY | FIDELIS CARE | 110403000000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275750333 | Elaine Clarke | Social Worker | 1300 E Lafayette St, Co-op 1405, Detroit, MI 48207-2905 | 2007-04-19 |
| Street Address |
235 PORT RICHMOND AVENUE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10302-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114137403 | Community Health Center of Richmond, Inc | Clinic/Center | 235 Port Richmond Avenue, Staten Island, NY 10302-1701 | 2007-05-23 |
| 1699843151 | Rosalinda Rosario-lipka | Family Medicine | 235 Port Richmond Avenue, Staten Island, NY 10302-1701 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494174 | Denasia Fitch | Student in an Organized Health Care Education/Training Program | 80 Willowbrook Rd, Staten Island, NY 10302 | 2019-08-26 |
| 1548752983 | Lawan Rickenbacker | Counselor | 28 Treadwell Ave, Staten Island, NY 10302 | 2018-06-01 |
| 1275059321 | Omolara Rachael Adediji | Nurse Practitioner | 210 Trantor Place, Apt 1d, Staten Island, NY 10302 | 2017-08-21 |
| 1558893479 | Joseph Wilson | Substance Abuse Rehabilitation Facility | 273 Heberton Avenue, Staten Island, NY 10302 | 2017-03-30 |
| 1902358864 | Natalie Valencia Toney-zubairu | Nurse Practitioner | Community Health Center of Richmond, 235 Port Richmond Ave, Staten Island, NY 10302 | 2016-10-26 |
| 1912453788 | Adewunmi Bankole | Registered Nurse | 124 Nicholas Avenue Apt B, Staten Island, NY 10302 | 2016-08-31 |
| 1154788974 | Eileen Patricia Cameron | Counselor | 263-267 Port Richmond Aveune, Staten Island, NY 10302 | 2016-01-25 |
| 1225468432 | Total Dental Care of Staten Island, P.C. | Dentist | 135 Willowbrook Road, Staten Island, NY 10302 | 2013-11-25 |
| 1760723621 | Si. Senior Lifestyle Center Inc | Clinic/Center | 98 Port Richmond Ave, Staten Island, NY 10302 | 2013-03-01 |
| 1962751255 | Kathleen Gomez-rodriguez | Speech-Language Pathologist | 12 Crystal Ave, Staten Island, NY 10302 | 2012-09-03 |
| Find all providers in zip 10302 | ||||
| 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 |
|---|---|---|---|---|
| 1396384228 | Zvi Eckstein, Md PC | Pediatrics | 1460 Victory Blvd Ste D, Staten Island, NY 10301-3914 | 2019-12-23 |
| 1497250914 | Hina Fatima | Pediatrics | 355 Bard Ave Rm 314, Staten Island, NY 10310-1699 | 2018-03-27 |
| 1629439427 | Pm Pediatrics of Staten Island | Pediatrics | 2407 Richmond Ave, Staten Island, NY 10314-3906 | 2016-03-08 |
| 1376960831 | Wing Sze Leung | Pediatrics | 165 Vanderbilt Avenue, Staten Island, NY 10304 | 2014-03-23 |
| 1245579226 | Shivani S Shah | Pediatrics | 135 Canal St Ste 200, Staten Island, NY 10304 | 2013-02-11 |
| 1376882084 | Attilio Antonio Avidano | Pediatrics | 89 Wirt Ave, Staten Island, NY 10309-4225 | 2013-02-01 |
| 1154604239 | Chavivan Dharapak | Pediatrics | 290 Ridgecrest Ave, Staten Island, NY 10312-5134 | 2011-09-24 |
| 1649551995 | Rumana Rahman | Pediatrics | 2066 Richmond Ave Fl 1, Staten Island, NY 10314-3960 | 2011-08-31 |
| 1922325232 | Nilufar Begum Maniky | Pediatrics | 245 Granite Ave, Staten Island, NY 10303-2605 | 2010-04-26 |
| 1790015899 | Anees Shareef | Pediatrics | 120 Goff Ave, Staten Island, NY 10309-2801 | 2010-01-12 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10302 |
Please comment or provide details below to improve the information on ELAINE CLARKE.
| 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.