Alan B. Clark M.D, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA20681 Issued in NJ

Legal business name

ALAN B. CLARK M.D, P.A.

Practice address

185 Central Ave
Suite#611
East Orange, NJ 07018-3332

Phone

(973) 678-5607

Fax

(973) 678-6319

NPI assigned

Oct 25, 2007

Organization subpart

Yes

Parent organization

ALAN B. CLARKAs reported in NPPES

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

Authorized official

Name

Dr. Alan Butler Clark, M.D, P.A.

Title

Neurologist

Phone

(973) 678-5607

Specialties & licenses 2

Addresses

Other names 1

• RUTH L. CLARK Other name

Part of

Alan Butler Clark MD

Locations

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1235318387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CENTRAL AVE",
            "address_2": "SUITE#303",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182835",
            "telephone_number": "973-678-5607",
            "fax_number": "973-678-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CENTRAL AVE",
            "address_2": "SUITE#611",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183332",
            "telephone_number": "973-678-5607",
            "fax_number": "973-678-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN B. CLARK M.D, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALAN B. CLARK",
        "enumeration_date": "2007-10-25",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "BUTLER",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "973-678-5607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D, P.A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA20681",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "MA56498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUTH L. CLARK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.