Ragnar Jonas Clarke, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

157 Tomahawk St
Yorktown Heights, NY 10598-6314

Phone

(914) 248-0500

NPI assigned

Jan 31, 2023

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

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71482

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.

• Mount Vernon Neighborhood Health Center Inc

  • Specialist
  • Mount Vernon, NY
  • NPI 1295912541
  Medicare reassignment NPD
• Mount Vernon Neighborhood Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, NY
  • NPI 1396736120
  NPD (past)
• Tomahawk Farm Pediatrics

  • Pediatrics Physician
  • Yorktown Heights, NY
  • NPI 1194034322
  NPD (past)

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1891491932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 WASHINGTON BLVD UNIT 206",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069028813",
            "telephone_number": "207-578-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 TOMAHAWK ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105986314",
            "telephone_number": "914-248-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "RAGNAR",
        "middle_name": "JONAS",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Christo, DDS
• Cristina Ciamei
• Celeste Ciavatta
• Cindy Hoffman DO PC
• Elizabeth C. Clarke, O.T.R.
• Bridget Lucille Coccaro, MSN, FNP
• Cohen Pediatric Dentistry, PC
• Christopher C Colasuonno, LCSW-R
• William L Collins, LCSW-R
• Community Based Services, Inc.

• Physician Assistant in Yorktown Heights, NY
• Providers in Yorktown Heights, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.