Anika Amanda Clarke, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

287988 Issued in NY

Practice address

16215 Highland Ave
Apt 2S
Jamaica, NY 11432-3452

Phone

(917) 502-3534

NPI assigned

Jun 10, 2013

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: aclarke456262@direct.medisys.org
• Direct secure messaging: aclarke18614@sbhny.direct-ci.net

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.

• Jamaica Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Jamaica, NY
  • NPI 1477505220
  Medicare reassignment NPD
• Jamaica Hospital

  • Skilled Nursing Facility
  • Jamaica, NY
  • NPI 1750516795
  NPD
• Jamaica Hospital Medical Center

  • Ambulatory Family Planning Facility
  • Richmond Hill, NY
  • NPI 1134376254
  NPD (past)
• Quarry Road Emergency Services P.C.

  • Emergency Medicine Physician
  • Bronx, NY
  • NPI 1134238199
  NPD (past)
• SBH Physicians, PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1740595917

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1790123958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4487 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104571526",
            "telephone_number": "718-960-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16215 HIGHLAND AVE",
            "address_2": "APT 2S",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323452",
            "telephone_number": "917-502-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "ANIKA",
        "middle_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "287988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Christina Ciudad, LMSW
• Mary Clancy, PA
• Evelyn Clark-Williams, CASAC
• Adam Clark
• Sheryl Clark, MD
• Fred Clarke, MD
• Juliet Clarke, LMSW
• Michael David Clarke
• Nakesha Clarke, LMSW
• Omar Clarke

• Pediatrics Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.