Janice E. Clemons, CASAC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

12158 Issued in NY

Practice address

321 E Tremont Ave
Bronx Lebanon Hospital
Bronx, NY 10457

Phone

(718) 518-3700

NPI assigned

Mar 10, 2009

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bronxcare Dr. Martin Luther King Jr. Health Center

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1376898908
  NPD (past)
• Martin Luther King Addictive Disease Services

  • Rehabilitation Hospital
  • Bronx, NY
  • NPI 1083852933
  NPD (past)

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1023259769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W 148TH ST",
            "address_2": "22",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100313107",
            "telephone_number": "212-694-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E TREMONT AVE",
            "address_2": "BRONX LEBANON HOSPITAL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "718-518-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "JANICE",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NY",
            "license": "12158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Estelle Clement
• Ana Lydia Clemente, MSW
• Rosanna N. Clemente
• Shira Clements
• Tamika Francina Clemetson, LPN
• Cybill Clermont
• Sarah Elaine Clermont, PA-C
• Pamela Cleto
• Krystal L Cleven, M.D.
• Johanna Theresa Clifford

• Substance Abuse Rehabilitation Facility in Bronx, NY
• Providers in Bronx, NY by specialty
• Substance Abuse Rehabilitation Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.