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PATRICK T CLANCY, MD, PA
NPI 1124129440
Ophthalmology in Midland Park, NJ

Active since September 26, 2006
44 GODWIN AVE, SUITE 101, MIDLAND PARK, NJ 07432(201) 447-5454(201) 447-8922 Get Directions Write a Review

NPPES record last updated: April 24, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Patrick T Clancy, Md, Pa NPPES

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

PATRICK T CLANCY, MD, PA (NPI 1124129440) is a healthcare organization registered as an ophthalmology in Midland Park, New Jersey and active in the NPI registry since September 2006. The organization lists Patrick T Clancy, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1124129440
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NamePATRICK T CLANCY, MD, PA
Location Address44 GODWIN AVE, SUITE 101Midland Park, NJ 07432-1969
Mailing Address44 Godwin Ave, Suite 101Midland Park, NJ 07432-1969 · (201) 447-5454 · Fax (201) 447-8922
Phone(201) 447-5454
Fax(201) 447-8922
Organization SubpartNo
Authorized OfficialPatrick T ClancyMd/owner · (201) 447-5454
Enumeration DateSeptember 26, 2006
Last NPPES UpdateApril 24, 2014
✔ NPI 1124129440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NJ · 25MA04814800
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
44 GODWIN AVE, Midland Park, NJ 07432
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Other Identifiers 1

Medicare PIN193069NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick T Clancy, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Patrick T Clancy, MD, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Patrick Clancy, MD
Ophthalmology
NPI 1740381128
44 GODWIN AVE
Midland Park, NJ 07432
(201) 447-5454
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Patrick T Clancy, MD, PA's NPI number?

The NPI number for Patrick T Clancy, MD, PA is 1124129440. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Patrick T Clancy, MD, PA located?

Patrick T Clancy, MD, PA is located at 44 Godwin Ave Suite 101, Midland Park, NJ 07432. The listed phone number is (201) 447-5454.

What is Patrick T Clancy, MD, PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Patrick T Clancy, MD, PA enrolled in Medicare?

Yes. Patrick T Clancy, MD, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Patrick T Clancy, MD, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Patrick T Clancy, MD, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Patrick T Clancy, MD, PA was last updated on April 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.