Praeophayom Clarke, MD
NPI 1487180055ActiveIndividual· Anesthesiology· Hackensack, NJ
Anesthesiology (MD) with New Jersey Healthcare Specialists PC, practicing in Hackensack, New Jersey. Medicare paid $4,228 for services to 18 patients in 2024. Lists Hackensack University Medical Center as a hospital affiliation.
Overview
| NPI | 1487180055 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 2, 2017 |
| Last updated in NPPES | May 26, 2022 |
| Certified by provider | May 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 25MA11029400 | NJ |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 Practitioner - Anesthesiology (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 19 across 13 procedure codes |
| Paid by Medicare | $4,228 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Anesthesiology |
Medical group
- New Jersey Healthcare Specialists PCOld Bridge, NJ · 561 clinicians
Hospital affiliation
- Hackensack University Medical CenterHackensack, NJ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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