East Orange Medical Practice
NPI 1114116175ActiveOrganization· Internal Medicine· East Orange, NJ
Internal Medicine in East Orange, New Jersey, registered in NPPES in October 2007. The authorized official on file is Robert A. Clarke, MD, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114116175 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2007 |
| Last updated in NPPES | Oct 16, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 25MA08005400 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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