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DR. JOHN F.J. CLARK III
NPI 1194862730
Specialist in New York, NY

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
255 CENTRAL PARK W, SUITE # 3, NEW YORK, NY 10024(212) 769-0666(212) 799-6193 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John F.j. Clark Iii NPPES

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

DR. JOHN F.J. CLARK III (NPI 1194862730) is an individual specialist in New York, New York, licensed in New York (160560-1) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (1977).

NPPES Registry Identity

NPI1194862730
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JOHN F.J. CLARK III
Location Address255 CENTRAL PARK W, SUITE # 3New York, NY 10024-4101
Mailing Address255 Central Park W, Suite # 3New York, NY 10024-4101 · (212) 769-0666 · Fax (212) 799-6193
Phone(212) 769-0666
Fax(212) 799-6193
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 1977
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194862730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 160560-1
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
255 CENTRAL PARK W, New York, NY 10024
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Other Names 1

Professional Name (2)Dr. John Francis, James Clark Md

Other Identifiers 3

Medicare UPINA64124NY
Medicare ID-Type Unspecified506D31NY
Medicaid00963231NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John F.j. Clark Iii is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769580604
PECOS Enrollment IDI20070531000196
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.

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 John Clark's NPI number?

The NPI number for John Clark is 1194862730. It was assigned to this individual provider in the NPPES registry on January 31, 2007. The provider is also known as Dr. John Francis, James Clark MD.

Where is John Clark located?

John Clark practices at 255 Central Park W Suite # 3, New York, NY 10024. The listed phone number is (212) 769-0666.

What is John Clark's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is John Clark enrolled in Medicare?

Yes. John Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for John Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.