CLARK GREGORY OWYANG (NPI# 1588082390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588082390 |
| Entity Type | Individual |
| Full Name | CLARK GREGORY OWYANG |
| Credential | MD |
| Practice Address |
1305 York Ave New York NY 10021-5663 |
| Mailing Address |
1305 York Ave # 96 New York NY 10021-5663 |
| Practice Telephone | 3476173739 |
| Mailing Telephone | 3476173739 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | A155291 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
303571-01 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1305 YORK AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-5663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134114549 | Kimberly C Sippel | Ophthalmology | 1305 York Ave, 12th Floor, New York, NY 10021-5663 | 2005-09-13 |
| 1952920167 | Corbyn Mbock Nchako | Student in an Organized Health Care Education/Training Program | 1305 York Ave, New York, NY 10021-5663 | 2020-04-09 |
| 1295374387 | Amanda Michelle Richardson | Nurse Practitioner | 1305 York Ave, New York, NY 10021-5663 | 2020-01-06 |
| 1528602026 | Melissa Ann Romero | Physician Assistant | 1305 York Ave, New York, NY 10021-5663 | 2019-10-29 |
| 1770056046 | Nicole Elaye Timi | Nurse Practitioner | 1305 York Ave, New York, NY 10021-5663 | 2019-01-09 |
| 1346730256 | Felice Dee LLC | Eyewear Supplier (Equipment, not the service) | 1305 York Ave, New York, NY 10021-5663 | 2018-05-16 |
| 1821586280 | Leonora Giragosian | Nurse Practitioner | 1305 York Ave, New York, NY 10021-5663 | 2018-05-01 |
| 1255854071 | Robert J. Battat | Internal Medicine | 1305 York Ave, New York, NY 10021-5663 | 2017-07-24 |
| 1831612969 | Cori Ramos | Registered Nurse | 1305 York Ave, New York, NY 10021-5663 | 2017-07-20 |
| 1497286066 | Tiffany N. Choi | Nurse Practitioner | 1305 York Ave, 8th Floor, New York, NY 10021-5663 | 2017-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962908376 | Jan Bakker | Internal Medicine | 555 First Ave, New York, NY 10016 | 2018-04-04 |
| 1124543095 | Ccmma Nj LLC | Internal Medicine | 224 W 18th St Apt 8a, New York, NY 10011-4558 | 2017-08-11 |
| 1538698642 | Medical Care for All PC | Internal Medicine | 22 E 41st St Fl 4, New York, NY 10017-6280 | 2017-06-12 |
| 1578906178 | Zachary Kuschner | Internal Medicine | 166 E 96th St Apt 2b, New York, NY 10128-2512 | 2013-04-12 |
| 1942563408 | Simon Edward Mates | Internal Medicine | 1 Gustave L Levy Pl # 1264, New York, NY 10029-6504 | 2012-06-20 |
| 1487917837 | Lina Miyakawa | Internal Medicine | First Avenue and E16 Street, New York, NY 10003-2604 | 2012-06-20 |
| 1396001061 | Bashar M Mourad | Internal Medicine | 301 E 17th St Ste 550, New York, NY 10003 | 2012-04-07 |
| 1598021255 | Joseph Alexander Mailman | Internal Medicine | 525 E 68th St # 96, New York, NY 10065 | 2012-04-06 |
| 1306116934 | Jennifer Wang | Internal Medicine | One Gustave Levy Place, Department of Surgery, 1264, New York, NY 10029 | 2012-01-12 |
| 1588963722 | Margarita Oks | Internal Medicine | 7 7th Ave Fl 3, New York, NY 10011 | 2011-03-26 |
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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.