Nancy Ellen Clark, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N05156 Issued in NY

Practice address

25 Mule Road
B9
Toms River, NJ 08755

Phone

(732) 966-1285

Fax

(732) 240-1441

NPI assigned

Jul 17, 2006

Last updated

Dec 9, 2011By the provider in NPPES

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

Enrolled in NJ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Encompass Health Rehab Hospital of Toms River Inpatient rehabilitation facility, Toms River, NJ, CCN 313029

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Podiatry

  • Sports Medicine Podiatrist
  • Toms River, NJ
  • NPI 1780440826
  NPD (past)
• Kimberly Daley DPM

  • Podiatrist
  • Toms River, NJ
  • NPI 1629251889
  NPD (past)
• Mary Ellen McCoy, DPM

  • Podiatrist
  • Whiting, NJ
  • NPI 1538234448
  NPD (past)
• Randall S Chalnick DC LLC

  • Chiropractor
  • Freehold, NJ
  • NPI 1801275102
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Encompass Health Rehabilitation Hospital of Toms River, LLC

  dba Encompass Health Rehabilitation Hospital of Toms River

  • Rehabilitation Hospital
  • Toms River, NJ
  • NPI 1669445375

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1760400071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BRETON HARBORS DRIVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08753",
            "telephone_number": "973-632-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MULE ROAD",
            "address_2": "B9",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-966-1285",
            "fax_number": "732-240-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NANCY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N05156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Citta, PT, DPT
• Kristen Michele Cladek, LSW
• Kevin Clancy, M.D.
• Alyson Clark
• Lenore E. Clark, R.D.
• Whitney Clark
• Jennifer D Clarke, CCC-SLP
• Deana Marie Clayton, PHARM D
• Stacey Denise Clayton, LCSW
• Susan V. Clayton, EDD, LPC

• Podiatrist in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.