DR. JEFFREY HOWARD STARK (NPI# 1124112255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124112255 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY HOWARD STARK |
| Credential | DPM |
| Practice Address |
6216 Myrtle Ave Glendale NY 11385-6236 |
| Practice Telephone | 7188212161 |
| Practice Fax Number | 7188211252 |
| Mailing Telephone | 7188212161 |
| Mailing Fax Number | 7188211252 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N004970 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01758718 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679839799 | Jeffrey D Stark | Counselor | 1006 Wilson Rd, Wilmington, DE 19803-3449 | 2012-04-03 |
| 1912239468 | Jeffrey Eric Stark | Physician Assistant | 35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816-2618 | 2010-02-09 |
| 1114922994 | Jeffrey M Stark | Podiatrist | 1 Duncan Pl, Oceanside, NY 11572-1306 | 2005-06-17 |
| 1275905952 | Jeffrey Stark | Pharmacist | 175 W Army Trail Rd, Glendale Heights, IL 60139-1971 | 2015-10-21 |
| 1568640621 | Jeffrey L Stark Jr. | Internal Medicine | 2959 Sharpsburg Mccollum Rd, Newnan, GA 30265 | 2008-01-31 |
| 1295809937 | Jeffrey David Stark | Optometrist | 2472 Broadway, New York, NY 10025-7449 | 2006-11-17 |
| 1598863748 | Jeffrey Ray Stark | Chiropractor | 11638 W Florissant Ave, Florissant, MO 63033-6723 | 2006-09-20 |
| 1356303630 | Jeffrey L Stark | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2006-04-04 |
| Street Address |
6216 MYRTLE AVE |
| City | GLENDALE |
| State | NY |
| Zip Code | 11385-6236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972938512 | Glenwood Podiatry PC | Podiatrist | 6216 Myrtle Ave, Glendale, NY 11385-6236 | 2013-09-12 |
| 1750566881 | Jeffrey Howard Stark Dpm | Durable Medical Equipment & Medical Supplies | 6216 Myrtle Ave, Glendale, NY 11385-6236 | 2008-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154602399 | Sole Care LLC | Podiatrist | 5660 W Potter Dr, Glendale, AZ 85308-9164 | 2011-09-01 |
| 1811166341 | Spyros Tsoumpariotis | Podiatrist | 7901 Myrtle Ave, Glendale, NY 11385-7441 | 2008-02-28 |
| 1164608394 | Joseph Addiego | Podiatrist | 1510 S Central Ave Ste 120, Glendale, CA 91204-2576 | 2008-01-17 |
| 1073660353 | Glenoaks Podiatry Group Inc | Podiatrist | 844 West Glenoaks Blvd, Glendale, CA 91202-2134 | 2007-01-05 |
| 1417032863 | Spyros Tsoumpariotis | Podiatrist | 79-01 Myrtle Ave, Glendale, NY 11385 | 2006-10-26 |
| 1700968377 | Thunderbird Podiatry | Podiatrist | 5620 W Thunderbird, G2, Glendale, AZ 85306 | 2006-10-20 |
| 1205937133 | Andrew C La | Podiatrist | 1510 S Central Ave #120, Glendale, CA 91204-2577 | 2006-09-25 |
| 1619076924 | George Nirvano Thompson Sr. | Podiatrist | 5757 West Thunderbird Road, Suite W203, Glendale, AZ 85306-4649 | 2006-09-22 |
| 1790713493 | Frank J Garofalo | Podiatrist | 1101 N Pacific Ave Ste 104, Glendale, CA 91202-4313 | 2006-06-29 |
| 1083641724 | David Robert Swanson | Podiatrist | 300 E Glenoaks Blvd, Glendale, CA 91207-2012 | 2006-06-27 |
| Find all providers in GLENDALE | ||||
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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.