DANA CLARK
NPI 1740743301
Obstetrics & Gynecology in New Hyde Park, NY

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment
1111 MARCUS AVE STE M04, NEW HYDE PARK, NY 11042(267) 229-1101 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dana Clark NPPES

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

DANA CLARK (NPI 1740743301) is an individual obstetrics & gynecology provider in New Hyde Park, New York, licensed in New York (324511-01) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Temple University School Of Medicine (2019).

NPPES Registry Identity

NPI1740743301
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDANA CLARK
Location Address1111 MARCUS AVE STE M04New Hyde Park, NY 11042-1034
Mailing Address1111 Marcus Ave Ste M04New Hyde Park, NY 11042-1034 · (267) 229-1101
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2019
Enumeration DateApril 10, 2019
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
NPI 1740743301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NY · 324511-01
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1111 MARCUS AVE STE M04, New Hyde Park, NY 11042

Secondary Practice Locations 2

Location 1682 Heatons Mill CirLanghorne, PA 19047-1522 · Phone (267) 229-1101
Location 2525 E 68th StNew York, NY 10065-4870 · Phone (212) 746-5454

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

Dana 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 ID7810225448
PECOS Enrollment IDI20240820002890
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 2

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

Radiology (Radiation Oncology)
1111 MARCUS AVE STE M04
NEW HYDE PARK, NY 11042
Nurse Practitioner
1111 MARCUS AVE STE M04
NEW HYDE PARK, NY 11042

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 Dana Clark's NPI number?

The NPI number for Dana Clark is 1740743301. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Dana Clark located?

Dana Clark practices at 1111 Marcus Ave Ste M04, New Hyde Park, NY 11042. The listed phone number is (267) 229-1101.

What is Dana Clark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Dana Clark enrolled in Medicare?

Yes. Dana 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.

When was this NPI record last updated?

The NPPES record for Dana Clark was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.