Active NPIIndividual providerSole proprietor

Jessica Clark

Occupational Therapist in Somerset, New Jersey

NPI Number1841921038
Practice location
7 Cedar Grove Ln Ste 39, Somerset, NJ 08873-1331
Fax
732-868-1422
Last updated
June 20, 2022

Jessica Clark is an Occupational Therapist based in Somerset, NJ. Jessica Clark practices in Somerset, NJ. The NPI Number for Jessica Clark is 1841921038 and holds a License No. 46TR01048500 (NJ). The current practice location address for Jessica Clark is 7 Cedar Grove Ln Ste 39, Somerset, NJ 08873-1331 and can be reached out via phone at 732-469-5680 and via fax at 732-868-1422.

Provider Profile Details

NPI Number
1841921038
Provider Name
Jessica Clark
Provider Entity Type
Individual
Gender
Female
Address
7 Cedar Grove Ln Ste 39, Somerset, NJ 08873-1331
Phone Number
732-469-5680
Fax Number
732-868-1422
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 20, 2022
Last Update Date
June 20, 2022
Certification Date
June 20, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 Cedar Grove Ln Ste 39
Somerset, NJ 08873-1331
Zip
08873-1331
Phone Number
732-469-5680
Fax Number
732-868-1422
Somerset, NJ 08873Get directions →

Provider Business Mailing Address Details

Address
576 Broadhollow RD
Melville, NY 11747-5002
City
Melville
State
NY
Zip
11747-5002
Phone Number
631-359-5859

License Information

License Number
46TR01048500
License State
NJ
Taxonomy
Occupational Therapist · 225X00000X · 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 Jessica Clark?

The NPI number of Jessica Clark is 1841921038. It was assigned on June 20, 2022 and is currently active in the NPPES registry.

What is the specialty of Jessica Clark?

Jessica Clark is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR01048500.

Where does Jessica Clark practice?

The practice location is 7 Cedar Grove Ln Ste 39, Somerset, NJ 08873-1331. The office can be reached at 732-469-5680 (phone) or 732-868-1422 (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 1841921038 directly on the NPPES registry website.

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