RICHARD STARK (NPI# 1104853308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104853308 |
| Entity Type | Individual |
| Full Name | RICHARD STARK |
| Credential | MD |
| Practice Address |
1999 Marcus Ave Ste 120 Lake Success NY 11042 |
| Practice Telephone | 5164666611 |
| Practice Fax Number | 5164669582 |
| Mailing Telephone | 5164666611 |
| Mailing Fax Number | 5164669582 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
132802 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487081378 | Richard Howard Stark Jr. | Chiropractor | 110 Elmora Ave, Elizabeth, NJ 07202-1615 | 2013-10-09 |
| 1700875929 | Richard Stark | Specialist | 6019 N 80th Way, Scottsdale, AZ 85250-5866 | 2005-10-20 |
| 1134626674 | Richard Stark | Student in an Organized Health Care Education/Training Program | 317 E 17th St, New York, NY 10003-3804 | 2018-04-11 |
| 1679644710 | Richard Bruce Stark | Dentist | 201 E 6th St, Morris, MN 56267-1212 | 2006-11-12 |
| 1023104049 | Richard Rey Stark | Internal Medicine | 148 Highway 105 Ext, Suite 104, Boone, NC 28607-5681 | 2006-10-05 |
| 1396848776 | Richard C Stark | Social Worker | 21707 Hawthorne Blvd, Suite 304, Torrance, CA 90503-7011 | 2006-09-07 |
| 1093782369 | Richard Craig Stark | Internal Medicine | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2006-03-04 |
| 1336114263 | Richard A Stark | Anesthesiology | 900 Peeler St, Kalamazoo, MI 49008-2380 | 2006-02-22 |
| Street Address |
1999 MARCUS AVE STE 120 |
| City | LAKE SUCCESS |
| State | NY |
| Zip Code | 11042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728063 | John J Santucci | Internal Medicine | 1999 Marcus Ave, Suite 110, Lake Success, NY 11042-1017 | 2005-05-24 |
| 1982943254 | Kimberly Nicole Charles | Nurse Practitioner | 1999 Marcus Ave, Suite 116, Lake Success, NY 11042 | 2013-02-06 |
| 1801128731 | Allison Scheckner | Dietitian, Registered | 1999 Marcus Ave, Suite 120, Lake Success, NY 11042 | 2010-02-03 |
| 1639283609 | Candace Schiffer | Physician Assistant | 1999 Marcus Ave, Suite 120, Lake Success, NY 11042 | 2006-08-18 |
| 1124055520 | Arena Oncology Assoc PC | Internal Medicine | 1999 Marcus Ave, Lake Success, NY 11040 | 2006-06-28 |
| 1174550586 | Heather Sulzbach | Nurse Practitioner | 1999 Marcus Ave, Suite 120, Lake Success, NY 11042 | 2006-06-28 |
| 1356398648 | Elizabeth A Gallegra | Occupational Therapist | 1999 Marcus Ave, Suite M15, Lake Success, NY 11042-1013 | 2006-05-30 |
| 1619922952 | Mark Alan Herbrich | Physical Therapist | 1999 Marcus Ave, Suite M15, Lake Success, NY 11042-1013 | 2006-05-24 |
| 1699729590 | John J Dragan | Physical Therapist | 1999 Marcus Ave, Suite M15, Lake Success, NY 11042-1013 | 2006-05-22 |
| 1699760132 | Francis P Arena | Internal Medicine | 1999 Marcus Ave, Suite 120, Lake Success, NY 11042 | 2005-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114297389 | New York University | Internal Medicine | 1999 Marcus Ave., Suite 120, Lake Success, NY 11042 | 2012-01-05 |
| 1124209655 | Jagmohan K Kalra Md PC | Internal Medicine | 2500 Marcus Avenue, Suite 110, Lake Success, NY 11042 | 2007-11-27 |
| 1770653115 | Jonathan Kolitz | Internal Medicine | The Monter Cancer Center, 450 Lakeville Road, Lake Success, NY 11042 | 2006-11-09 |
| 1386632057 | Wasif M Saif | Internal Medicine | 450 Lakeville Road, Lake Success, NY 11042 | 2005-10-07 |
| 1184628059 | Ari Leonard Ginsberg | Internal Medicine | 2001 Marcus Avenue, Suite S265, Lake Success, NY 11042-1035 | 2005-06-09 |
| 1962520825 | Laura Donahue | Internal Medicine | The Monter Cancer Center, 450 Lakeville Road, Lake Success, NY 11042 | 2007-03-27 |
| 1043337165 | Lora Weiselberg | Internal Medicine | The Monter Cancer Center, 450 Lakeville Road, Lake Success, NY 11042 | 2007-03-23 |
| 1356475610 | Veena John | Internal Medicine | 450 Lakeville Road, The Monter Cancer Center, Lake Success, NY 11042 | 2007-03-16 |
| 1730219122 | James D'olimpio | Internal Medicine | 450 Lakeville Road, The Monter Cancer Center, Lake Success, NY 11042 | 2007-03-06 |
| 1558491944 | Steven Allen | Internal Medicine | 450 Lakeville Road, The Monter Cancer Center, Lake Success, NY 11042 | 2007-03-06 |
| Find all providers in LAKE SUCCESS | ||||
| City | LAKE SUCCESS |
| Zip Code | 11042 |
Please comment or provide details below to improve the information on RICHARD STARK.
| 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.