Kevin O Clarke (NPI# 1598789265, PAC ID# 8729045489) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SURGICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1598789265 |
| PAC ID by PECOS | 8729045489 |
| Professional Enrollment ID | I20061020000380 |
| Full Name | Kevin O Clarke |
| Organization Legal Name | NBIMC DEPARTMENT OF SURGERY |
| Address |
166 Lyons Ave Newark NJ 07112-2016 |
| Phone Number | 9739267300 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | SURGICAL ONCOLOGY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 0941256986 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310002 | NEWARK BETH ISRAEL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 166 Lyons Ave, Newark, NJ 07112-2016 | 9739267300 | NBIMC DEPARTMENT OF SURGERY |
| 201 Lyons Ave, Newark, NJ 07112-2027 | 9739266014 | NBIMC DEPARTMENT OF SURGERY |
| Organization Legal Name | NBIMC DEPARTMENT OF SURGERY |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla M Harris | Physician Assistant | Nbimc Department of Surgery | 201 Lions Ave, Newark, NJ 07112-2027 |
| Cindy Sturt | Vascular Surgery | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Beena J Joseph | Nurse Practitioner | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| James M Lee Sr. | Orthopedic Surgery | Nbimc Department of Surgery | 201 Lyons Ave, Newark, NJ 07112-2027 |
| David Stephen Pertsemlidis | General Surgery | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Tri Le | Nurse Practitioner | Nbimc Department of Surgery | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Harold Brem | General Surgery | Nbimc Department of Surgery | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Adam Michael Kopelan | General Surgery | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Alan A Saber | General Surgery | Nbimc Department of Surgery | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Street Address |
166 LYONS AVE |
| City | NEWARK |
| State | NJ |
| Zip | 07112-2016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy Sturt | Vascular Surgery | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Beena J Joseph | Nurse Practitioner | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Jonathan C Dunn | Endocrinology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Tatiana Ambarus | Obstetrics/gynecology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| David Stephen Pertsemlidis | General Surgery | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Misbah Salam | Neurology | 166 Lyons Ave, Newark, NJ 07112-2016 | |
| Harvey K Bucholtz | Endocrinology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Cynthia A Galeota | Certified Nurse Midwife (cnm) | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Martin Gimovsky | Obstetrics/gynecology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Joseph Vaydovsky | Obstetrics/gynecology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Homer L Nelson | Internal Medicine | 410 Chancellor Ave, Newark, NJ 07112-1030 | |
| Razia S Awan | Internal Medicine | 156 Lyons Ave, Newark, NJ 07112-2016 | |
| David M Newman | Ophthalmology | 166 Lyons Ave, Newark, NJ 07112-2016 | |
| Chetan Malik | Physical Medicine and Rehabilitation | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Adam Michael Kopelan | General Surgery | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Nicholas S Guittari | Geriatric Medicine | 156 Lyons Ave, Newark, NJ 07112-2016 | |
| Navya Kuchipudi | Internal Medicine | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Shalini Gupta | Obstetrics/gynecology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Pratik Patel | Pulmonary Disease | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Jon F Sicat | Internal Medicine | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Find all physicians in zip 07112 | |||
| City | NEWARK |
| Zip Code | 07112 |
| Specialty | SURGICAL ONCOLOGY |
| City + Specialty | NEWARK + SURGICAL ONCOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.