Active NPIIndividual provider

Kevin O Clarke, MD

Surgery, Surgical Oncology in Newark, New Jersey

NPI Number1598789265
Practice location
90 Bergen St, Doc 7100, Newark, NJ 07103-2425
Fax
973-972-2988
Last updated
August 21, 2009

Kevin O. Clarke is a Surgery, Surgical Oncology based in Newark, NJ. Kevin O. Clarke practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Kevin O. Clarke is 1598789265 and holds a License No. 25MA07226400 (NJ). The current practice location address for Kevin O. Clarke is 90 Bergen St, Doc 7100, Newark, NJ 07103-2425 and can be reached out via phone at 973-972-2400 and via fax at 973-972-2988.

Provider Profile Details

NPI Number
1598789265
Provider Name
Kevin O. Clarke
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
90 Bergen St, Doc 7100, Newark, NJ 07103-2425
Phone Number
973-972-2400
Fax Number
973-972-2988
Primary Taxonomy
Surgery, Surgical Oncology · 2086X0206X
Sole Proprietor
No
Provider Enumeration Date
July 27, 2006
Last Update Date
August 21, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Bergen St
Doc 7100
Newark, NJ 07103-2425
City
Newark
Zip
07103-2425
Phone Number
973-972-2400
Fax Number
973-972-2988
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000
City
Newark
State
NJ
Zip
07107-3000

License Information

License Number
25MA07226400
License State
NJ
Taxonomy
Surgery, Surgical Oncology · 2086X0206X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kevin O Clarke, MD?

The NPI number of Kevin O Clarke, MD is 1598789265. It was assigned on July 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Kevin O Clarke, MD?

Kevin O Clarke, MD is registered under the primary taxonomy Surgery, Surgical Oncology (code 2086X0206X), licensed in NJ under license number 25MA07226400.

Where does Kevin O Clarke, MD practice?

The practice location is 90 Bergen St, Doc 7100, Newark, NJ 07103-2425. The office can be reached at 973-972-2400 (phone) or 973-972-2988 (fax).

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 1598789265 directly on the NPPES registry website.

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