DR. JENNIFER STARK (NPI# 1063763548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063763548 |
Entity Type | Individual |
Full Name | DR. JENNIFER STARK |
Credential | D.O. |
Practice Address |
160 Crossways Park Dr Woodbury NY 11797-2028 |
Practice Telephone | 5162178120 |
Mailing Telephone | 5162178120 |
Enumeration Date | 2012-09-25 |
Last Update Date | 2020-04-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | 303473 | NY | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
45 E 72nd St, New York, NY 100214148 | 2123194999 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619006541 | Jennifer L. Stark | Marriage & Family Therapist | 1435 W I St, Los Banos, CA 93635-4546 | 2007-03-05 |
1518010396 | Jennifer E Stark | Pharmacist | 5826 Dancing Rabbit Dr, Springdale, AR 72762-6277 | 2007-01-18 |
1962042135 | Jennifer Stark | Counselor | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-01-15 |
1437701471 | Jennifer Marie Stark | Nurse Practitioner | 2929 Woodland Park Dr, Houston, TX 77082-2687 | 2019-07-10 |
1316448228 | Jennifer Lynn Stark | Speech-Language Pathologist | 32715 Grand River Ave, Farmington, MI 48336-3113 | 2018-02-26 |
1417371576 | Jennifer Stark | Registered Nurse | 1450 E 10th St, Rolla, MO 65401-3648 | 2014-02-10 |
1275720260 | Jennifer Dawn Stark | Social Worker | 15 Grant St, Petersburg, WV 26847-1687 | 2007-10-03 |
Street Address |
160 CROSSWAYS PARK DR |
City | WOODBURY |
State | NY |
Zip Code | 11797-2028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699749713 | Eve Lupenko | Dermatology | 160 Crossways Park Dr, Woodbury, NY 11797 | 2006-02-15 |
1689181562 | Greenberg Medical Services PC | Dermatology | 160 Crossways Park Dr, Woodbury, NY 11797-2028 | 2018-01-02 |
1598274789 | Sarah Donohue | Physician Assistant | 160 Crossways Park Dr, Woodbury, NY 11797-2028 | 2017-09-20 |
1821484999 | Stephen T. Greenberg Md PC | Surgery | 160 Crossways Park Dr, Woodbury, NY 11797-2028 | 2015-04-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
1225692304 | Patricia L Topper | Technician/Technologist | Optics Plus, 8285 Jericho Tpke, Woodbury, NY 11797 | 2019-04-24 |
1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
1801225917 | Melissa Messer | Early Intervention Provider Agency | 108 Chestnut Lane, Woodbury, NY 11797 | 2013-11-08 |
1205174497 | Town Total Health, LLC | Pharmacy | 415 Crossways Park Drive, Suite A, Woodbury, NY 11797 | 2013-01-22 |
1750644878 | Shahrzad Bagheri | Specialist | 322 Anchorage Drive, Woodbury, Woodbury, New York, NY 11797 | 2012-06-22 |
1700171865 | Town Total Compounding Centers, LLC | Pharmacy | 415 Crossways Park Dr, Suite B, Woodbury, NY 11797 | 2011-06-16 |
1023316247 | Marnie Marissa Morabito | Speech-Language Pathologist | 72 Southwoods Road, Woodbury, NY 11797 | 2011-03-11 |
1114229838 | Malcolm Berger | Physical Therapy Assistant | 122 Southwoods Rd, Woodbury, NY 11797 | 2010-12-01 |
Find all providers in zip 11797 |
Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174685135 | Peter Lawrence Schwartz | Plastic Surgery | 143 Froehlich Farm Blvd, Woodbury, NY 11797-2906 | 2006-12-15 |
1487733788 | Umeng David Thao | Plastic Surgery | 604 Bielenberg Dr, Suite 250, Woodbury, MN 55125-1414 | 2006-11-06 |
1750467189 | Stephanie Anne Cooper | Plastic Surgery | 160 Crossways Park Drive, Woodbury, NY 11797-2028 | 2006-10-27 |
1962407221 | Thomas J Steffe | Plastic Surgery | 1007 Mantua Pike, Suite B, Woodbury, NJ 08096-3963 | 2005-06-14 |
1730582834 | Anthony Buglino Do Pllc | Plastic Surgery | 155 Froehlich Farm Blvd, Woodbury, NY 11797-2906 | 2014-10-02 |
1881740116 | James Alan Hoffman | Plastic Surgery | 1875 Woodwinds Dr, Suite 204, Woodbury, MN 55125-2298 | 2007-01-27 |
1063499820 | Heather Lynne Rocheford | Plastic Surgery | 2101 Woodwinds Dr, Suite 400, Woodbury, MN 55125-2525 | 2005-12-22 |
1811992860 | Plastic & Cosmetic Surgical Group of New Jersey, P.C. | Plastic Surgery | 1007 Mantua Pike, Suite B, Woodbury, NJ 08096-3963 | 2005-06-16 |
1003811233 | Frederick B Lavan | Plastic Surgery | 1007 Mantua Pike, Suite B, Woodbury, NJ 08096-3963 | 2005-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811501729 | Hamptons Plastic Surgery, Pllc | Plastic Surgery | 25 Montauk Hwy Ste 1, Quogue, NY 11959-4000 | 2020-09-08 |
1881218857 | Jeremy Nikfarjam Md PC | Plastic Surgery | 6c Blue Sea Ln, Great Neck, NY 11024-1500 | 2020-06-04 |
1073137790 | Shah Plastic Surgery Pllc | Plastic Surgery | 352 7th Avenue, Unit 1503, New York, NY 10001 | 2020-05-29 |
1952944852 | Rowe Plastic Surgery of Long Island PC | Plastic Surgery | 100 Manetto Hill Rd Ste 204, Plainview, NY 11803-1311 | 2019-10-23 |
1548817083 | Cljohnsonmd PC | Plastic Surgery | 22 W 48th St Ste 300, New York, NY 10036-1818 | 2019-08-20 |
1780156620 | David J Pincus Md | Plastic Surgery | 44 Laurel Hill Rd, Centerport, NY 11721-1637 | 2018-12-17 |
1437629433 | Craig Baldenhofer Md Pllc | Plastic Surgery | 115 W 27th St Fl 10, New York, NY 10001-6217 | 2018-12-03 |
1427523174 | Image Plastic Surgery LLC | Plastic Surgery | 346 E 51st St Apt 1f, New York, NY 10022-7824 | 2018-10-09 |
1245722719 | Plastic Surgery Practice At Manhattan PC | Plastic Surgery | 139 Plandome Rd # 139, Manhasset, NY 11030-2331 | 2018-05-31 |
1013416338 | Stephen Evangelisti Md | Plastic Surgery | 1901 Lac De Ville Blvd Ste 2, Rochester, NY 14618-5660 | 2018-02-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.