ROGER CLARK
NPI 1922640721
Student in an Organized Health Care Education/Training Program in New York, NY

Active since October 13, 2019
160 CONVENT AVE, HARRIS HALL H-15, NEW YORK, NY 10031(212) 650-7745 Get Directions Write a Review

NPPES record last updated: October 13, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Roger Clark NPPES

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

ROGER CLARK (NPI 1922640721) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1922640721
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameROGER CLARK
Location Address160 CONVENT AVE, HARRIS HALL H-15New York, NY 10031-9198
Mailing Address2040 Gleason Ave Apt 2kBronx, NY 10472-5282 · (646) 939-0733
Sole ProprietorYes
Enumeration DateOctober 13, 2019
NPI 1922640721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
160 CONVENT AVE, New York, NY 10031

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.

Physician Assistant
160 CONVENT AVE
NEW YORK, NY 10031
Physician Assistant
160 CONVENT AVE
NEW YORK, NY 10031
Student in an Organized Health Care Education/Training Program
160 CONVENT AVE
NEW YORK, NY 10031
Physician Assistant
160 CONVENT AVE
NEW YORK, NY 10031
Physician Assistant
160 CONVENT AVE, TOWNSEND HARRIS HALL
NEW YORK, NY 10031
Internal Medicine
160 CONVENT AVE, H404B
NEW YORK, NY 10031
Student in an Organized Health Care Education/Training Program
160 CONVENT AVE
NEW YORK, NY 10031
Student in an Organized Health Care Education/Training Program
160 CONVENT AVE
NEW YORK, NY 10031

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 Roger Clark's NPI number?

The NPI number for Roger Clark is 1922640721. It was assigned to this individual provider in the NPPES registry on October 13, 2019.

Where is Roger Clark located?

Roger Clark practices at 160 Convent Ave Harris Hall H-15, New York, NY 10031. The listed phone number is (212) 650-7745.

What is Roger Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Roger Clark was last updated on October 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.