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DR. ROXANN VINELLE CLARKE DPM
NPI 1174829923
Podiatrist - Foot Surgery in New York, NY

Active since January 26, 2011PECOS Enrolled
111 JOHN ST RM 1450, NEW YORK, NY 10038(212) 791-5700(212) 791-5700 Get Directions Write a Review

NPPES record last updated: July 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2018, May 12, 2016 (2 updates tracked since 2016).

About Dr. Roxann Vinelle Clarke Dpm NPPES

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

DR. ROXANN VINELLE CLARKE DPM (NPI 1174829923) is an individual foot surgery provider in New York, New York, licensed in New York (006461) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174829923
Entity TypeIndividualFemale
Primary Taxonomy213ES0131X
Provider Legal NameDR. ROXANN VINELLE CLARKECredential: DPM
Location Address111 JOHN ST RM 1450New York, NY 10038
Mailing Address111 John St Rm 1450New York, NY 10038-3122 · (122) 791-5700
Phone(212) 791-5700
Fax(212) 791-5700
Sole ProprietorYes
Enumeration DateJanuary 26, 2011
Last NPPES UpdateJuly 13, 20182 updates tracked since enumeration
✔ NPI 1174829923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in NY · 006461
Also ListedPodiatristTaxonomy 213E00000X · License 006461 (NY)
111 JOHN ST RM 1450, New York, NY 10038
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Other Identifiers 1

Medicaid303480059NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roxann Vinelle Clarke Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

NEW YORK PODIATRY SUITE
Podiatrist (Foot & Ankle Surgery)
111 JOHN ST RM 1450
NEW YORK, NY 10038
New York County (212) 791-5700
PRIYA SAILESH PATEL PA-C
Physician Assistant (Surgical)
111 JOHN ST RM 1450
NEW YORK, NY 10038
New York County (212) 204-6501
CHANA CHRISTINA CAMACHO PA-C
Physician Assistant
111 JOHN ST RM 1450
NEW YORK, NY 10038
New York County (212) 204-6501

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 Roxann Clarke's NPI number?

The NPI number for Roxann Clarke is 1174829923. It was assigned to this individual provider in the NPPES registry on January 26, 2011.

Where is Roxann Clarke located?

Roxann Clarke practices at 111 John St Rm 1450, New York, NY 10038. The listed phone number is (212) 791-5700.

What is Roxann Clarke's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Roxann Clarke enrolled in Medicare?

Yes. Roxann Clarke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roxann Clarke was last updated on July 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.