Carl L Clarke, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

006336 Issued in NY

Practice address

767 E 10TH St
2A
Brooklyn, NY 11230-2320

Phone

(718) 859-5237

NPI assigned

Sep 2, 2010

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1861709495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300399",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112300399",
            "telephone_number": "718-859-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 E 10TH ST",
            "address_2": "2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302320",
            "telephone_number": "718-859-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CARL",
        "middle_name": "L",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "006336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Clarke-Thyme
• Alicia Clarke
• Almaz Clarke
• Alyssa Nicole Clarke, L.M.S.W.
• Amahny Clarke
• Cecilia Clarke, LMSW
• Chantell Clarke
• Cheri-Ann Jessica Clarke, LCSW
• Cheryl Clarke
• Christie Clarke

• Medical Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.