ELSA JIMENEZ CLARK M.D.
NPI 1770589343
Internal Medicine in Wantagh, NY

Active since June 28, 2005
1259 WANTAGH AVE, WANTAGH, NY 11793(516) 221-7971(516) 221-8117 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elsa Jimenez Clark M.d. NPPES

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

ELSA JIMENEZ CLARK M.D. (NPI 1770589343) is an individual internal medicine provider in Wantagh, New York, licensed in New York (186750) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1770589343
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameELSA JIMENEZ CLARKCredential: M.D.
Location Address1259 WANTAGH AVEWantagh, NY 11793-2205
Mailing Address1259 Wantagh AveWantagh, NY 11793-2205 · (516) 221-7971 · Fax (516) 221-8117
Fax(516) 221-8117
Sole ProprietorYes
Enumeration DateJune 28, 2005
Last NPPES UpdateJune 24, 2008
NPI 1770589343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 186750
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.
1259 WANTAGH AVE, Wantagh, NY 11793

Other Identifiers 2

Medicare UPINF97493
Medicare PIN47J461

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
1259 WANTAGH AVE
WANTAGH, NY 11793
Social Worker (Clinical)
1259 WANTAGH AVE
WANTAGH, NY 11793
Social Worker (Clinical)
1259 WANTAGH AVE
WANTAGH, NY 11793
Specialist
1259 WANTAGH AVE
WANTAGH, NY 11793
Internal Medicine (Infectious Disease)
1259 WANTAGH AVE
WANTAGH, NY 11793
Internal Medicine
1259 WANTAGH AVE
WANTAGH, NY 11793
Social Worker
1259 WANTAGH AVE
WANTAGH, NY 11793

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 Elsa Clark's NPI number?

The NPI number for Elsa Clark is 1770589343. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Elsa Clark located?

Elsa Clark practices at 1259 Wantagh Ave, Wantagh, NY 11793. The listed phone number is (516) 221-7971.

What is Elsa Clark'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 Elsa Clark was last updated on June 24, 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.