What is Edgardo Clark's NPI number?

Edgardo Clark's National Provider Identifier (NPI) is 1063194561, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Edgardo Clark's specialty?

Edgardo Clark is listed in the NPPES registry with a primary specialty of Non-emergency Medical Transport (VAN) (Transportation Services).

Where is Edgardo Clark located?

Edgardo Clark's practice location on file with NPPES is 24 Himoor Cir, Randolph, MA 02368-2429.

What is Edgardo Clark's phone number?

The practice phone number listed in the NPPES registry for Edgardo Clark is (508) 243-4379.

Is Edgardo Clark's NPI active?

Yes — Edgardo Clark's NPI (1063194561) is active in the NPPES registry as of the last update on 2023-08-03.

IndividualActive

Edgardo Clark

NPI 1063194561 · Non-emergency Medical Transport (VAN) · Randolph, MA

Edgardo Clark is a Non-emergency Medical Transport (VAN) provider in Randolph, MA (NPI 1063194561).

Provider details

NPI number: 1063194561
Entity type: Individual
Primary specialty: Non-emergency Medical Transport (VAN)Transportation Services
Sex: Male
Sole proprietor: Yes
License: S37922805 (MA)

Specialties & taxonomies

Non-emergency Medical Transport (VAN)Primary343900000XLicense S37922805 (MA)
Transportation Services

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

24 Himoor Cir

Randolph, MA 02368-2429

Phone: (508) 243-4379

Street-level locationGet directions

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Mailing address