Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn Clark, MD

Individual provider Surgical Critical Care Physician · NPI 1861838682

Jaclyn Clark, MD is a General Surgery in New York, New York. Graduated from New York University School of Medicine in 2013, 13 years ago. Practices with Shock Trauma Associates PA, a 262-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
13
Trained at
New York University School of Medicine
Licensed in
MD
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

550 1st Ave
New York, NY 10016-6402
Phone: (201) 321-2635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence C462356683177 (MD)

Record details

NPI number1861838682
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2013
Last updated in NPPESAugust 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Shock Trauma Associates Pa — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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