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

Madison R Clark, NP

Individual provider Acute Care Nurse Practitioner · NPI 1053950972

Madison R Clark, NP is a Nurse Practitioner in New York, New York. Qualified in 2019, 7 years ago. Practices with MSK Bergen, a 254-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence F431601-01 (NY)

Record details

NPI number1053950972
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 23, 2019
Last updated in NPPESMay 11, 2020
Certification dateMay 11, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Msk Bergen — 254 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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