Active NPI
Steven Clarke, FNP
- Nurse Practitioner
- Holbrook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 347985
- Practice address
- 8 Avenue a
Holbrook, NY 11741-2008 - Phone
- (631) 903-3567
- NPI assigned
- Sep 17, 2013
- Last updated
- Aug 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 347985 | NY | Primary |
| Registered Nurse | 163W00000X | 677790 | NY | |
| Home Health Registered Nurse | 163WH0200X | 677790 | NY |
Addresses
Primary practice location
8 Avenue a
Holbrook, NY 11741-2008
Mailing address
8 Avenue a
Holbrook, NY 11741-2008
Phone (631) 903-3567
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Park Ave
FL 11
New York, NY 10016-5803
700 Hicksville Rd
Bethpage, NY 11714-3471
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 677790 | NY | MD | Registered Nurse |
| 347985 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S&J Family Health NPS PLLC | Nurse Practitioner | Current | Accepting new patients |
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| SC Family Health NP PLLC | Current | Accepting new patients |
Locations
375 Main St
Islip, NY 11751
Phone (631) 277-0591
Interoperability endpoints
- sclarke752774@nyumc.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
- Nurse Practitioner
- Islip, NY
- NPI 1023947041
-
- Family Nurse Practitioner
- Holbrook, NY
- NPI 1992561708
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1962838383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 AVENUE A",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117412008",
"telephone_number": "631-903-3567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 AVENUE A",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117412008",
"telephone_number": "631-903-3567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "STEVEN",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-17",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "347985",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "677790",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "677790",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.