Clarissa Sophie Clerphon

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

350854 Issued in NY

Practice address

902 Ferndale Blvd
Central Islip, NY 11722-4222

Phone

(917) 588-9690

NPI assigned

Dec 9, 2025

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

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1396608998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FERNDALE BLVD",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FERNDALE BLVD",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224222",
            "telephone_number": "917-588-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLERPHON",
        "first_name": "CLARISSA",
        "middle_name": "SOPHIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "350854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Chukwuezi
• Hung Sup Chung, MD
• Heather Clark
• Elisiea Class, LPN
• Edwin Claude
• Candice Rose Clifford
• Cnetral Islip Ufsd
• Victoria Coefield, RN
• Aviva Leah Cohen, LMSW
• Jillian Colchamiro

• Licensed Practical Nurse in Central Islip, NY
• Providers in Central Islip, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.