CLARK PEDIATRICS LLC NPI 1093186702

NPI Information

  • NPI: 1093186702
  • Provider Name: CLARK PEDIATRICS, LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 480 OAK RIDGE RD
    CLARK, NJ
    ZIP 07066
  • Phone: (732) 574-9444

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NPI Details

CLARK PEDIATRICS, LLC is a pediatrics in Clark, NJ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CLARK PEDIATRICS, LLC NPI is 1093186702. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

480 OAK RIDGE RD
CLARK, NJ
ZIP 07066-124
Phone: (732) 574-9444

The provider's authorized official is Dulce Suapengco Samonte .
The authorized official title is Owner and has the following contact phone number (732) 574-9444.

The enumeration date for this NPI number is 10/8/2015 and was last updated on 10/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics25MA04400000NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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