Active NPIIndividual providerSole proprietor

Dr. Greg D Clark, DPM

Podiatrist in Sea Girt, New Jersey

NPI Number1629046289
Practice location
2130 Highway 35, Bldg C Ste 312, Sea Girt, NJ 08750-1010
Fax
732-974-0190
Last updated
March 7, 2023

Greg D Clark is a Podiatrist based in Sea Girt, NJ. Greg D Clark practices in Sea Girt, NJ and has the professional credentials of DPM. The NPI Number for Greg D Clark is 1629046289 and holds a License No. 25MD00282000 (NJ). The current practice location address for Greg D Clark is 2130 Highway 35, Bldg C Ste 312, Sea Girt, NJ 08750-1010 and can be reached out via phone at 732-974-8200 and via fax at 732-974-0190.

Provider Profile Details

NPI Number
1629046289
Provider Name
Greg D Clark
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2130 Highway 35, Bldg C Ste 312, Sea Girt, NJ 08750-1010
Phone Number
732-974-8200
Fax Number
732-974-0190
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 9, 2006
Last Update Date
March 7, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2130 Highway 35
Bldg C Ste 312
Sea Girt, NJ 08750-1010
Zip
08750-1010
Phone Number
732-974-8200
Fax Number
732-974-0190
Sea Girt, NJ 08750Get directions →

Provider Business Mailing Address Details

Address
2130 Highway 35
Bldg C Ste 312
Sea Girt, NJ 08750-1010
City
Sea Girt
State
NJ
Zip
08750-1010
Phone Number
732-974-8200
Fax Number
732-974-0190

License Information

License Number
25MD00282000
License State
NJ
Taxonomy
Podiatrist · 213E00000X · 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 Dr. Greg D Clark, DPM?

The NPI number of Dr. Greg D Clark, DPM is 1629046289. It was assigned on March 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Greg D Clark, DPM?

Dr. Greg D Clark, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number 25MD00282000.

Where does Dr. Greg D Clark, DPM practice?

The practice location is 2130 Highway 35, Bldg C Ste 312, Sea Girt, NJ 08750-1010. The office can be reached at 732-974-8200 (phone) or 732-974-0190 (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 1629046289 directly on the NPPES registry website.

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