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JENNIFER CLARKE
NPI 1396004073
Pediatrics - Child Abuse Pediatrics in Elmhurst, NY

Active since May 15, 2012PECOS Enrolled
7901 BROADWAY, ELMHURST, NY 11373(718) 334-3915 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2022, May 24, 2021, Apr 28, 2021 and 1 more (4 updates tracked since 2015).

About Jennifer Clarke NPPES

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

JENNIFER CLARKE (NPI 1396004073) is an individual child abuse pediatrics provider in Elmhurst, New York, licensed in New York (315543-01) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396004073
Entity TypeIndividualFemale
Primary Taxonomy2080C0008X
Provider Legal NameJENNIFER CLARKE
Location Address7901 BROADWAYElmhurst, NY 11373-1329
Mailing Address7901 BroadwayElmhurst, NY 11373-1329
Phone(718) 334-3915
Sole ProprietorNo
Enumeration DateMay 15, 2012
Last NPPES UpdateAugust 9, 20224 updates tracked since enumeration
NPPES CertifiedAugust 9, 2022
✔ NPI 1396004073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Child Abuse PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080C0008X
Licenses✔ Licensed in NY · 315543-01✔ Licensed in PA · MD453628
Definition
A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.
7901 BROADWAY, Elmhurst, NY 11373
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Clarke 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 20

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

MR. PAUL ADRIAN POWELL P.A
Physician Assistant
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
RUDRA PRADEEP KOUL MD
Internal Medicine (Pulmonary Disease)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
CARLOS ANDRES PAREDES PONCE MD
Pediatrics
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-3050
JOSH KLEINMUNTZ LCSW
Social Worker (Clinical)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-2650
AMELIA O'BRIEN LMSW
Social Worker
7901 BROADWAY
ELMHURST, NY 11373
Queens County (408) 838-0392
COLIN PAUL CARPENTER DO
Student in an Organized Health Care Education/Training Program
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
VANESSA GONZALEZ LMSW
Social Worker
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4630
SASHA AMEILIA KANDASAMMY
Physician Assistant (Surgical)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (516) 849-2409

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 Jennifer Clarke's NPI number?

The NPI number for Jennifer Clarke is 1396004073. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Where is Jennifer Clarke located?

Jennifer Clarke practices at 7901 Broadway, Elmhurst, NY 11373. The listed phone number is (718) 334-3915.

What is Jennifer Clarke's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Child Abuse Pediatrics, with taxonomy code 2080C0008X.

Is Jennifer Clarke enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Clarke was last updated on August 9, 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.