Connor Clark
Physician Assistant in Summit, New Jersey
1447802939- Practice location
- 99 Beauvoir Ave, Summit, NJ 07901-3533
- Phone
- 908-522-2000
- Fax
- —
- Last updated
- August 6, 2021
Connor Clark is a Physician Assistant based in Summit, NJ. Connor Clark practices in Summit, NJ. The NPI Number for Connor Clark is 1447802939 and holds a License No. 25MP00630600 (NJ). The current practice location address for Connor Clark is 99 Beauvoir Ave, Summit, NJ 07901-3533 and can be reached out via phone at 908-522-2000.
Provider Profile Details
- NPI Number
- 1447802939
- Provider Name
- Connor Clark
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 99 Beauvoir Ave, Summit, NJ 07901-3533
- Phone Number
- 908-522-2000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 15, 2019
- Last Update Date
- August 6, 2021
- Certification Date
- August 6, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 99 Beauvoir Ave
Summit, NJ 07901-3533 - City
- Summit
- State
- New Jersey
- Zip
- 07901-3533
- Phone Number
- 908-522-2000
Provider Business Mailing Address Details
- Address
- 10 Price CT
Denville, NJ 07834-2176 - City
- Denville
- State
- NJ
- Zip
- 07834-2176
License Information
- License Number
- 25MP00630600
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Summit, NJ
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- John K Flanagan, PA-CPhysician Assistant · NPI 1104770338
- Louis J Messano III, PA-CPhysician Assistant · NPI 1568463636
- Melissa A NoraPhysician Assistant · NPI 1659253656
- Michael E Mirman, PAPhysician Assistant · NPI 1184323453
Frequently Asked Questions
What is the NPI number of Connor Clark?
The NPI number of Connor Clark is 1447802939. It was assigned on July 15, 2019 and is currently active in the NPPES registry.
What is the specialty of Connor Clark?
Connor Clark is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00630600.
Where does Connor Clark practice?
The practice location is 99 Beauvoir Ave, Summit, NJ 07901-3533. The office can be reached at 908-522-2000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447802939 directly on the NPPES registry website.