MR. ZACHARY ROBERT CLARK PA-C
NPI 1508444027
Physician Assistant - Medical in Philadelphia, PA

Q: What is Zachary Clark's NPI number?

The NPI number for Zachary Clark is 1508444027. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Q: What is Zachary Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Zachary Clark was last updated on July 8, 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.

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment

5501 OLD YORK RD, PHILADELPHIA, PA 19141(800) 346-7834 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2021, Mar 29, 2021 (2 updates tracked since 2021).

On this page

About Mr. Zachary Robert Clark Pa-c NPPES

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

MR. ZACHARY ROBERT CLARK PA-C (NPI 1508444027) is an individual medical provider in Philadelphia, Pennsylvania and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Einstein Medical Center Montgomery, and is a graduate of Drexel University College Of Medicine (2020).

NPPES Registry Identity

NPI1508444027

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. ZACHARY ROBERT CLARKCredential: PA-C

Location Address5501 OLD YORK RDPhiladelphia, PA 19141-3018

Mailing Address5501 Old York RdPhiladelphia, PA 19141-3018

Phone(800) 346-7834

Sole ProprietorYes

Medical School CMSDrexel University College Of MedicineGraduated 2020

Enumeration DateMarch 29, 2021

Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration

NPPES CertifiedJuly 8, 2021

✔ NPI 1508444027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

5501 OLD YORK RD, Philadelphia, PA 19141

Open in Google Maps ↗

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

Mr. Zachary Robert Clark Pa-c 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 ID6709287964

PECOS Enrollment IDI20210624002626

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 3

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 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.

29 services29 patients

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.

25 services25 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390329

Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County

Emergency services

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.

KENNETH KLECKNER MD

Emergency Medicine

5501 OLD YORK RD, EINSTEIN MEDICAL CENTER - PHILADELPHIA
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-6679

MS. AMMAN HASSAN MD

Pediatrics

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-3810

TAYLOR NICOLE THOMPSON PA-C

Physician Assistant (Medical)

5501 OLD YORK RD, KORMAN BUILDING SUITE 202
PHILADELPHIA, PA 19141

Philadelphia County (215) 254-2630

STEPHEN RYAN CHEN

Orthopaedic Surgery

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-7890

DR. DHRUV SHARMA MD

Student in an Organized Health Care Education/Training Program

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-7890

TIMOTHY DANIEL GARDNER DO

Student in an Organized Health Care Education/Training Program

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-7890

DR. JONATHAN THOMAS LUCIANI DO

Student in an Organized Health Care Education/Training Program

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-7890

ASHIKA KAPOOR MD

Psychiatry & Neurology (Psychiatry)

5501 OLD YORK RD
PHILA, PA 19141

Philadelphia County (215) 456-8103

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 Zachary Clark's NPI number?

The NPI number for Zachary Clark is 1508444027. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Zachary Clark located?

Zachary Clark practices at 5501 Old York Rd, Philadelphia, PA 19141. The listed phone number is (800) 346-7834.

What is Zachary Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Zachary Clark enrolled in Medicare?

Yes. Zachary 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 Zachary Clark affiliated with any hospitals?

According to CMS data, Zachary Clark is affiliated with Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Zachary Clark was last updated on July 8, 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.