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CLARK MEDICAL SERVICE LLC
NPI 1710431291
Internal Medicine in Bloomfield, NJ

Active since August 12, 2016
135 BLOOMFIELD AVE STE F, BLOOMFIELD, NJ 07003(862) 213-0033 Get Directions Write a Review

NPPES record last updated: August 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clark Medical Service Llc NPPES

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

CLARK MEDICAL SERVICE LLC (NPI 1710431291) is a healthcare organization registered as an internal medicine in Bloomfield, New Jersey and active in the NPI registry since August 2016. The organization lists Mounir Y Abdelshahid, M.d., as its authorized official.

NPPES Registry Identity

NPI1710431291
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCLARK MEDICAL SERVICE LLC
Location Address135 BLOOMFIELD AVE STE FBloomfield, NJ 07003-5902
Mailing Address135 Bloomfield Ave Ste FBloomfield, NJ 07003-5902
Phone(862) 213-0033
Organization SubpartNo
Authorized OfficialMounir Y AbdelshahidM.d. · (862) 213-0033
Enumeration DateAugust 12, 2016
✔ NPI 1710431291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
135 BLOOMFIELD AVE STE F, Bloomfield, NJ 07003
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Other Identifiers 1

Medicaid0343757NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

ANDRE AUGUSTIN APN
Nurse Practitioner (Gerontology)
135 BLOOMFIELD AVE STE F
BLOOMFIELD, NJ 07003
Essex County (862) 213-0033
GOSPEL NWACHUKWU OKOYE
Nurse Practitioner (Family)
135 BLOOMFIELD AVE STE F
BLOOMFIELD, NJ 07003
Essex County (862) 213-0033

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 Clark Medical Service LLC's NPI number?

The NPI number for Clark Medical Service LLC is 1710431291. It was assigned to this organization in the NPPES registry on August 12, 2016.

Where is Clark Medical Service LLC located?

Clark Medical Service LLC is located at 135 Bloomfield Ave Ste F, Bloomfield, NJ 07003. The listed phone number is (862) 213-0033.

What is Clark Medical Service LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Clark Medical Service LLC was last updated on August 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.