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FRED CLARKE MD
NPI 1346206950
Family Medicine in Jamaica, NY

Active since April 22, 2006
20016 HOLLIS AVENUE, JAMAICA, NY 11412(718) 736-8204(718) 736-8505 Get Directions Write a Review

NPPES record last updated: January 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fred Clarke Md NPPES

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

FRED CLARKE MD (NPI 1346206950) is an individual family medicine provider in Jamaica, New York, licensed in New York (206376) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1346206950
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFRED CLARKECredential: MD
Location Address20016 HOLLIS AVENUEJamaica, NY 11412
Mailing Address80 Marcus Dr, Provider EnrollmentMelville, NY 11747-4230 · (631) 391-7889 · Fax (631) 454-4163
Phone(718) 736-8204
Fax(718) 736-8505
Sole ProprietorYes
Enumeration DateApril 22, 2006
Last NPPES UpdateJanuary 18, 2013
✔ NPI 1346206950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 206376
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
20016 HOLLIS AVENUE, Jamaica, NY 11412
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Other Identifiers 3

Medicare PIN03595KNY
Medicaid01862739NY
Medicare UPING79017

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 Fred Clarke's NPI number?

The NPI number for Fred Clarke is 1346206950. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is Fred Clarke located?

Fred Clarke practices at 20016 Hollis Avenue, Jamaica, NY 11412. The listed phone number is (718) 736-8204.

What is Fred Clarke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Fred Clarke was last updated on January 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.