Theresa Clarke, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

309852 Issued in NY

Practice address

1 Healthy Way
Oceanside, NY 11572-1551

Phone

(516) 632-4998

Fax

(516) 747-7947

NPI assigned

Dec 1, 2020

Sex

Female

Sole proprietor

No

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

Enrolled in NY, FL, TN3 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Multiviz Medical Services PCGroup PAC ID 1557274735, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• Multiviz Medical Services PC

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1720373293

  FL, TN

  Medicare reassignment Care Compare group NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  FL, NY

  Medicare reassignment NPD
• Abiola Familusi

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1295958445
  NPD (past)
• Rockaway HD LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Far Rockaway, NY
  • NPI 1194085662
  NPD (past)

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1497350383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 TAFT AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631428",
            "telephone_number": "929-312-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTHY WAY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551",
            "telephone_number": "516-632-4998",
            "fax_number": "516-747-7947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2209 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Merrick",
            "state": "NY",
            "postal_code": "115664786",
            "country_code": "US",
            "telephone_number": "516-546-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "242 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115705254",
            "country_code": "US",
            "telephone_number": "516-536-1455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "THERESA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "309852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jessica Cilento
• Cirilo Umayan Rnfa FNP LTD
• Heather Emily Cirulnick, MA, CFY-SLP
• Linda Citro, N.P.
• Siobhan Clarke, PT
• Bridget Dee Clyburn, NP
• CMG Management Solutions Corp
• Coastline Dental Care PLLC
• Nicole Cody, PA
• Carlos Coello, PA-C

• Nurse Practitioner in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.