Roxann Vinelle Clarke, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

006461 Issued in NY

Practice address

111 John St RM 1450
New York, NY 10038

Phone

(212) 791-5700

Fax

(212) 791-5700

NPI assigned

Jan 26, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Brooklyn Foot & Ankle PC

  • Podiatrist
  • Brooklyn, NY
  • NPI 1851333652
  NPD (past)
• To Healthy Feet-a.LLC

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
  • NPI 1982429189
  NPD (past)

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1174829923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JOHN ST RM 1450",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383122",
            "telephone_number": "122-791-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JOHN ST RM 1450",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10038",
            "telephone_number": "212-791-5700",
            "fax_number": "212-791-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Ashford St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112077315",
            "country_code": "US",
            "telephone_number": "718-345-5000 x1171",
            "fax_number": "718-345-5794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "ROXANN",
        "middle_name": "VINELLE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006461",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "006461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303480059",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Clarke
• Michelle Clarke
• Monique Clarke
• Nacketa Tiffany Clarke
• Ronda Clarke, LPN
• Sadika T Clarke, SLP-CF
• Sarah Anne Clarke, MD
• Shauna-Kay Clarke, NP
• Stephanie K Clarke, MS, RD, CDN
• Vanessa Clarke, M.D.

• Foot Surgery Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.