Colin Clarke, M.D.

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

License

208242 Issued in NY

Practice address

565 Plandome Rd Ste 303
Manhasset, NY 11030-1945

Phone

(516) 456-8077

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486252800000",
    "number": "1003929209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 PLANDOME RD STE 303",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301945",
            "telephone_number": "516-456-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 PLANDOME RD STE 303",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301945",
            "telephone_number": "516-456-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "COLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2017-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NY",
            "license": "208242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City Smiles Dental Services, P.C.
• Christa Maureen Ciuffo, AGACNP-BC
• Joanne M Clark-Schrynemakers, O.D.
• Jeanne Caroline Clark, R.N.
• Kimberly Clark, MD
• Latoya Nicole Codougan
• Kerri Ann Cody, NURSE PRACTITIONER
• Lincoln George Coffie, MD
• Alan J. Cohen, MD
• Allison Lee Cohen, M.D.

• Nuclear Medicine Physician in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Nuclear Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.