Active NPI
Greg Clarke
- Home Health Aide
- Brooklyn, NY
National Provider Identifier
1942873187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 590 Flatbush Ave Apt 2P
Brooklyn, NY 11225-4974 - Phone
- (718) 715-8420
- NPI assigned
- Jul 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
590 Flatbush Ave Apt 2P
Brooklyn, NY 11225-4974
Mailing address
PO Box 250330
Brooklyn, NY 11225-0330
Phone (212) 529-8172
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Ellemedcare | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1942873187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250330",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112250330",
"telephone_number": "212-529-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 FLATBUSH AVE APT 2P",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112254974",
"telephone_number": "718-715-8420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "GREG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Ellemedcare",
"affiliation": "N",
"endpointDescription": "Ellemedcare",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "590 Flatbush Ave Apt 2P",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112254974",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.