KATHERINE E CLARK
NPI 1851173595
Physician Assistant - Surgical in New York, NY
About Katherine E Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE E CLARK (NPI 1851173595) is an individual surgical provider in New York, New York and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katherine E Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
NEW YORK, NY 10016
NEW YORK, NY 10016
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 Katherine Clark's NPI number?
The NPI number for Katherine Clark is 1851173595. It was assigned to this individual provider in the NPPES registry on October 17, 2023.
Where is Katherine Clark located?
Katherine Clark practices at 462 1st Ave, New York, NY 10016. The listed phone number is (212) 562-4141.
What is Katherine Clark's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Katherine Clark enrolled in Medicare?
Yes. Katherine Clark is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Katherine Clark was last updated on October 24, 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.
# Katherine E Clark · NPI 1851173595
Surgical physician in New York, New York. Individual provider, active in the CMS NPPES registry since October 17, 2023.
## Identity
- **NPI:** 1851173595 (Entity type: Individual)
- **Enumerated:** October 17, 2023
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **Sole proprietor:** No
## Practice location
- **Address:** 462 1ST AVE, New York, NY 10016-9196
- **Phone:** (212) 562-4141
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1851173595) · Data from the CMS NPPES public registry.