1. Home
  2. Directory
  3. New Jersey
  4. Edison
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

CHRISTIAN ALEXANDER CLARK
NPI 1083324099
Student in an Organized Health Care Education/Training Program in Edison, NJ

Active since November 30, 2022
1036 AMBOY AVE, EDISON, NJ 08837(732) 587-5339 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Christian Alexander Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTIAN ALEXANDER CLARK (NPI 1083324099) is an individual student in an organized health care education/training program in Edison, New Jersey and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1083324099
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHRISTIAN ALEXANDER CLARK
Location Address1036 AMBOY AVEEdison, NJ 08837-2870
Mailing Address515 S 1st Ave Apt 5Highland Park, NJ 08904-2157 · (240) 817-7676
Phone(732) 587-5339
Sole ProprietorNo
Enumeration DateNovember 30, 2022
NPPES CertifiedNovember 30, 2022
✔ NPI 1083324099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1036 AMBOY AVE, Edison, NJ 08837
Open in Google Maps ↗

Other Names 1

Other Name (5)Xan Clark

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELA P SIERRA M.A
Counselor (Mental Health)
1036 AMBOY AVE, 2ND STREET ENTRANCE
EDISON, NJ 08837
Middlesex County (732) 587-5339
PRIME RADIOLOGY LLC
Clinic/Center (Radiology)
1036 AMBOY AVE
EDISON, NJ 08837
Middlesex County (732) 225-2300
QUINONES COUNSELING SERVICES, LLC
Counselor (Professional)
1036 AMBOY AVE
EDISON, NJ 08837
Middlesex County (732) 587-5339
DR. DARSHNA MODY D.D.S.
Dentist (General Practice)
1036 AMBOY AVE
EDISON, NJ 08837
Middlesex County (732) 225-2300
MS. SIOBHAN CRYSTAL QUINONES MSW
Social Worker
1036 AMBOY AVE
EDISON, NJ 08837
Middlesex County (732) 532-3811
MRS. SILVIA E GAMEZ LAC
Counselor (Professional)
1036 AMBOY AVE
EDISON, NJ 08837
Middlesex County (732) 587-5339
PRIME DENTAL
Dentist (General Practice)
1036 AMBOY AVE
EDISON, NJ 08837
Middlesex County (732) 225-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christian Clark's NPI number?

The NPI number for Christian Clark is 1083324099. It was assigned to this individual provider in the NPPES registry on November 30, 2022. The provider is also known as Xan Clark.

Where is Christian Clark located?

Christian Clark practices at 1036 Amboy Ave, Edison, NJ 08837. The listed phone number is (732) 587-5339.

What is Christian Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Christian Clark was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.