Active NPI
Sarah Elaine Clark
- Certified Registered Nurse Anesthetist
- Mount Kisco, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 605364
- Practice address
- 400 E Main St
Mount Kisco, NY 10549 - Phone
- (914) 666-1200
- NPI assigned
- May 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 605364 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 605364 | NY | Primary |
Addresses
Primary practice location
400 E Main St
Mount Kisco, NY 10549
Mailing address
1465 E Putnam Ave Apt 610
Old Greenwich, CT 06870-1337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 605364 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Anesthesiology, PC | Current | Accepting new patients | |
| Woodland Anesthesia Associates PC | Current | Accepting new patients | |
| Anesthesiologists of Middletown, P.C. | Current | Accepting new patients |
Locations
701 Cottage Grove Rd
Ste F230
Bloomfield, CT 06002
Phone (860) 243-5569
73 Sand Pit Rd
Danbury, CT 06810
Phone (203) 743-2400
40 Old Ridgebury Rd
Danbury, CT 06810
Phone (203) 205-2840
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
145 S Main St
Middletown, CT 06457
Phone (860) 346-5889
410 Saybrook Rd
Middletown, CT 06457
Phone (615) 686-2262
901 Ethan Allen Hwy
Ridgefield, CT 06877
Phone (203) 383-9967
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
60 Goldens Bridge Rd
Katonah, NY 10536
Phone (914) 232-1919
400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200
26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000
27005 76th Ave
North New Hyde Pk, NY 11040
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Middletown, CT
- NPI 1851317135
-
- Anesthesiology Physician
- Hartford, CT
- NPI 1437109824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1841789567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 E PUTNAM AVE APT 610",
"city": "OLD GREENWICH",
"state": "CT",
"postal_code": "068701337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E MAIN ST",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "10549",
"telephone_number": "914-666-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "SARAH ELAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-08",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "605364",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "605364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.