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CONNOR CLARK
NPI 1447802939
Physician Assistant in Summit, NJ

Active since July 15, 2019PECOS EnrolledAccepts Medicare Assignment
99 BEAUVOIR AVE, SUMMIT, NJ 07901(908) 522-2000 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2021, Jul 29, 2021, Jul 15, 2019 (3 updates tracked since 2019).

About Connor Clark NPPES

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

CONNOR CLARK (NPI 1447802939) is an individual physician assistant in Summit, New Jersey, licensed in New Jersey (25MP00630600) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Newton Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1447802939
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCONNOR CLARK
Location Address99 BEAUVOIR AVESummit, NJ 07901-3533
Mailing Address10 Price CtDenville, NJ 07834-2176
Phone(908) 522-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 15, 2019
Last NPPES UpdateAugust 6, 20213 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1447802939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · 25MP00630600
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
99 BEAUVOIR AVE, Summit, NJ 07901
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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 and accepts Medicare assignment

Connor Clark 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 ID6901234533
PECOS Enrollment IDI20210728002462
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
238 services236 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
141 services141 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
89 services87 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services36 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services25 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. LAUREN H IM-IMAMURA D.O,
Family Medicine
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-2000
MEHAK FARRUKH
Student in an Organized Health Care Education/Training Program
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-2000
CYNTHIA E CROSS
Nurse Practitioner (Adult Health)
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (973) 971-5595
DR. OLUMUYIWA ADEDOTUN IBIKUNLE M.D
Internal Medicine
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-2000
SONA KHURANA D.O.
Hospitalist
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-6414
AHS HOSPITAL CORP
General Acute Care Hospital
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (848) 332-1879
JODIE DARLING M.S. RD
Dietitian, Registered
99 BEAUVOIR AVE, BOX 243
SUMMIT, NJ 07901
Union County (908) 522-5756
MRS. MARYNA KUZNETSOV M.D.
Radiology (Diagnostic Radiology)
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-2065

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 Connor Clark's NPI number?

The NPI number for Connor Clark is 1447802939. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Connor Clark located?

Connor Clark practices at 99 Beauvoir Ave, Summit, NJ 07901. The listed phone number is (908) 522-2000.

What is Connor Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Connor Clark enrolled in Medicare?

Yes. Connor 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.

Is Connor Clark affiliated with any hospitals?

According to CMS data, Connor Clark is affiliated with Newton Medical Center.

When was this NPI record last updated?

The NPPES record for Connor Clark was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.