MICHAEL STARK (NPI# 1861984114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861984114 |
Entity Type | Individual |
Full Name | MICHAEL STARK |
Credential | DO |
Practice Address |
42 E Laurel Rd Ste 1700 Stratford NJ 08084-1354 |
Practice Telephone | 8565667121 |
Enumeration Date | 2018-06-02 |
Last Update Date | 2018-06-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558582304 | Michael A Stark | Internal Medicine | 1808 Verdugo Blvd., Suite 313, Glendale, CA 91208-1463 | 2007-05-01 |
1679579577 | Michael Lee Stark | Ophthalmology | 1118 Fairington Dr, Sidney, OH 45365-8913 | 2005-06-24 |
1104239086 | Michael Stark | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, General Medical Education, Bethesda, MD 20889-5600 | 2014-06-09 |
1225452840 | Michael Alan Stark | Pharmacist | 888 Eastgate North Dr, Cincinnati, OH 45245-1588 | 2014-02-18 |
1366864712 | Michael Stark | Pharmacist | 3911 W State Route 22 3, Loveland, OH 45140-7395 | 2014-01-19 |
1144554213 | Michael D Stark | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2009-09-23 |
1316101710 | Michael Dillard Stark | Psychiatry & Neurology | 2400 17th St, Columbus, IN 47201-5351 | 2008-07-15 |
1245493113 | Michael J Stark | Counselor | 3340 Kemper St, Suite 105, San Diego, CA 92110-4906 | 2008-07-09 |
1780753921 | Michael I Stark | Psychologist | 88 University Pl, #4b, New York, NY 10003-4513 | 2006-11-06 |
1649260779 | Michael C Stark | Family Medicine | 325 Butts Ave, Tomah, WI 54660-1412 | 2005-10-28 |
Street Address |
42 E LAUREL RD STE 1700 |
City | STRATFORD |
State | NJ |
Zip Code | 08084-1354 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396774386 | Peg Mary Schanne | Nurse Practitioner | 42 E Laurel Rd Ste 1700, Stratford, NJ 08084-1354 | 2006-07-02 |
1265055040 | Lauren Traci Norris | Case Manager/Care Coordinator | 42 E Laurel Rd Ste 1700, Stratford, NJ 08084-1354 | 2020-05-27 |
1043872542 | Michelle Guida Morris | Nurse Practitioner | 42 E Laurel Rd Ste 1700, Stratford, NJ 08084-1354 | 2019-07-03 |
1831682699 | Hope Elizabeth Skibicki | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 1700, Stratford, NJ 08084-1354 | 2018-06-07 |
1639661606 | Patrick Francis Szukics | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 1700, Stratford, NJ 08084-1354 | 2018-06-05 |
1386136596 | Julian Zangrilli | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 1700, Stratford, NJ 08084-1354 | 2018-06-04 |
1770075020 | Joseph Ernesto Massaglia Jr. | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 1700, Stratford, NJ 08084-1354 | 2018-06-02 |
1437688900 | Fady Sourial | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 1700, Stratford, NJ 08084-1354 | 2017-06-08 |
1063941698 | Michael Patrick Markowitz | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 1700, Stratford, NJ 08084-1354 | 2017-06-07 |
1003344219 | Robert Nugent Jr. | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 1700, Stratford, NJ 08084-1354 | 2017-06-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780209684 | Emily Lacount | Student in an Organized Health Care Education/Training Program | Louis Balsama, D.o., Program Director, Rowansom 42 E. Laurel Rd, Stratford, NJ 08084 | 2020-06-16 |
1356903124 | Maziyar Daneshvar | Student in an Organized Health Care Education/Training Program | Rowansom 42 E Laurel Road, Suite 3100, Philadelphia, NJ 08084 | 2019-07-02 |
1598321788 | Sylvia Orozco Silberman | Student in an Organized Health Care Education/Training Program | Fm: Alison Mancuso, Do, Prog Dir, Rowansom 42 E Laurel Road, Suite 2100a, Stratford, NJ 08084 | 2019-05-14 |
1831682939 | Shriya Jakkidi Reddy | Student in an Organized Health Care Education/Training Program | Rowansom 42 E. Laurel Road, Suite 3100, Stratford, NJ 08084 | 2018-06-13 |
1003336751 | Maulik D Shah | Student in an Organized Health Care Education/Training Program | 42 East Laurel Rd, Suite 3100, Stratford, NJ 08084 | 2017-06-23 |
1225566946 | Bhumi Shah | Student in an Organized Health Care Education/Training Program | 18 E Laurel Road, Em: Anthony Dipasquale, Do, Prog Dir, Rowansom, Stratford, NJ 08084 | 2017-05-25 |
1902259393 | Ameena Javed Jiwani | Family Medicine | Rowan Som 42 E Laurel Road, Ste. 2100a, Stratford, NJ 08084 | 2016-07-20 |
1104276823 | Akshay Sridhar | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Suite 162, Stratford, NJ 08084 | 2016-06-14 |
1144692138 | Amanda Wu | Physical Therapist | 1255 Caldewell Road, Cherry Hill, NJ 08084 | 2015-10-29 |
1215313010 | Nathaniel Paul Havens | Student in an Organized Health Care Education/Training Program | 42 E. Laurel Rd., Suite 2100a, Stratford, NJ 08084 | 2015-08-04 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780209684 | Emily Lacount | Student in an Organized Health Care Education/Training Program | Louis Balsama, D.o., Program Director, Rowansom 42 E. Laurel Rd, Stratford, NJ 08084 | 2020-06-16 |
1871118935 | Duwayne George Campbell | Student in an Organized Health Care Education/Training Program | 18 E Laurel Rd Ste 2100a, Stratford, NJ 08084-1327 | 2020-06-14 |
1982229241 | Melissa Jelaso | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 3600, Stratford, NJ 08084-1354 | 2020-06-12 |
1326677923 | Carly Margaret Fabbri | Student in an Organized Health Care Education/Training Program | 165 Butternut Ln, Stratford, CT 06614-2457 | 2020-04-06 |
1558922153 | Nicholas James Minissale | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 172, Stratford, NJ 08084-1500 | 2019-06-25 |
1326606435 | Stephanie Kwan | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 146, Stratford, NJ 08084-1500 | 2019-06-04 |
1053979674 | Stephen Robert Kruger | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 2001a, Stratford, NJ 08084-1354 | 2019-05-29 |
1598321788 | Sylvia Orozco Silberman | Student in an Organized Health Care Education/Training Program | Fm: Alison Mancuso, Do, Prog Dir, Rowansom 42 E Laurel Road, Suite 2100a, Stratford, NJ 08084 | 2019-05-14 |
1063906345 | Tania Maheshwari | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd # 2100a, Stratford, NJ 08084-1354 | 2018-06-19 |
1831682939 | Shriya Jakkidi Reddy | Student in an Organized Health Care Education/Training Program | Rowansom 42 E. Laurel Road, Suite 3100, Stratford, NJ 08084 | 2018-06-13 |
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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.