Epiphany Medical Services, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EPIPHANY MEDICAL SERVICES, PC

Practice address

2440 Whitney Ave
Hamden, CT 06518-3222

Phone

(203) 389-5606

NPI assigned

Feb 4, 2018

Organization subpart

No

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

Authorized official

Name

Paul Kevin Clarke, MDNPI 1548292279

Title

Director/Owner

Phone

(203) 389-5606

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Kevin Clarke, M.D.

  • Internal Medicine Physician
  • Hamden, CT
  • NPI 1548292279
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1517702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1356840466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 OVERLAND DR",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772655",
            "telephone_number": "203-492-9395",
            "fax_number": "203-404-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183222",
            "telephone_number": "203-389-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-04",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "203-389-5606",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001390385",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hamden, CT
• Providers in Hamden, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.