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

Jeanann Clark, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1073607800

Jeanann Clark, PHYSICIANASSISTANT is a Physician Assistant in New York, New York. Qualified in 2001, 25 years ago. Practices with Weill Medical College of Cornell, a 2,031-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

525 E 68th St Box 141
New York, NY 10021-4870
Phone: (212) 746-2059
Fax: (212) 746-8596
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 008259 (NY)

Record details

NPI number1073607800
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Weill Medical College Of Cornell — 2031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New York