DR. CLYDE A. PEMBERTON M.D.
NPI 1629225594
Psychiatry & Neurology - Addiction Medicine in Newark, NJ

Q: What is Clyde Pemberton's NPI number?

The NPI number for Clyde Pemberton is 1629225594. It was assigned to this individual provider in the NPPES registry on August 22, 2008.

Q: What is Clyde Pemberton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Q: When was this NPI record last updated?

The NPPES record for Clyde Pemberton was last updated on August 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 August 22, 2008

15 S 9TH ST, NEWARK, NJ 07107(973) 497-9360(973) 497-9100 Get Directions Write a Review

NPPES record last updated: August 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Clyde A. Pemberton M.d. NPPES

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

DR. CLYDE A. PEMBERTON M.D. (NPI 1629225594) is an individual addiction medicine provider in Newark, New Jersey, licensed in New Jersey (47443) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1629225594

Entity TypeIndividualMale

Primary Taxonomy2084A0401X

Provider Legal NameDR. CLYDE A. PEMBERTONCredential: M.D.

Location Address15 S 9TH STNewark, NJ 07107-2147

Mailing Address15 S 9th StNewark, NJ 07107-2147 · (973) 497-9360 · Fax (973) 497-9100

Phone(973) 497-9360

Fax(973) 497-9100

Sole ProprietorYes

Enumeration DateAugust 22, 2008

✔ NPI 1629225594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084A0401X

License✔ Licensed in NJ · 47443

Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

15 S 9TH ST, Newark, NJ 07107

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Other Providers at the Same Location NPPES

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

LIVING NEW INC

Substance Abuse Rehabilitation Facility

15 S 9TH ST
NEWARK, NJ 07107

Essex County (973) 497-2471

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 Clyde Pemberton's NPI number?

The NPI number for Clyde Pemberton is 1629225594. It was assigned to this individual provider in the NPPES registry on August 22, 2008.

Where is Clyde Pemberton located?

Clyde Pemberton practices at 15 S 9th St, Newark, NJ 07107. The listed phone number is (973) 497-9360.

What is Clyde Pemberton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

When was this NPI record last updated?

The NPPES record for Clyde Pemberton was last updated on August 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.