Jaclyn Clark, M.D.
Jaclyn Clark, M.D. is a Surgical Critical Care Physician in New York, NY, registered under NPI 1861838682.
Getting there
The practice address on file is 550 1ST AVE, New York, NY 10016. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| C462356683177 | MD | Surgical Critical Care Physician primary |
This provider holds licence C462356683177 issued in MD. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - General Surgery
- PAC ID
- 9931447182
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| District of Columbia | I20190906002739 | Practitioner - General Surgery |
| Maryland | I20191010000048 | Practitioner - General Surgery |
Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. There are 2 separate enrolment records across 2 states (DC, MD). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Surgical Critical Care covers
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. NUCC Health Care Provider Taxonomy, code 2086S0102X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1861838682 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 20, 2013 |
| Last updated | Aug 15, 2019 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
550 1ST AVE New York, NY 10016 (201) 321-2635 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 6 | 1 | 8 | 3 | 8 | 6 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 3 | 1 | 7 | 3 | 7 | 6 | 7 |
Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.