Active NPI
Colin Clarke M.D. P.C.
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1487760963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 208242-8
- Legal business name
- COLIN CLARKE M.D. P.C.
- Practice address
- 2518 Ocean Ave
Brooklyn, NY 11229-3916 - Phone
- (718) 934-5395
- NPI assigned
- Aug 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Colin Clarke, M.D.
- Title
- President
- Phone
- (516) 456-8077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 208242-8 | NY | Primary |
Addresses
Primary practice location
2518 Ocean Ave
Brooklyn, NY 11229-3916
Mailing address
PO Box 350185
Brooklyn, NY 11235-0185
Phone (718) 743-6225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02317435 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
27 The Plz
Locust Valley, NY 11560
Phone (516) 456-8077
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1003984667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487760963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 350185",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112350185",
"telephone_number": "718-743-6225",
"fax_number": "866-317-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2518 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112293916",
"telephone_number": "718-934-5395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLIN CLARKE M.D. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CLARKE",
"authorized_official_first_name": "COLIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-456-8077",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "208242-8",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02317435",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.