Lyle D Stark (NPI# 1306946819, PAC ID# 9234138470) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1306946819 |
| PAC ID by PECOS | 9234138470 |
| Professional Enrollment ID | I20061215000293 |
| Full Name | Lyle D Stark |
| Organization Legal Name | NORTH AMERICAN PARTNERS IN PAIN MANAGEMENT NEW JERSEY LLC |
| Address |
703 Main St Paterson NJ 07503-2621 |
| Phone Number | 9737542499 |
| Gender | M |
| Credential | PA |
| Medical School | CORNELL UNIVERSITY MEDICAL COLLEGE |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7214101278 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310019 | ST JOSEPH'S HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 703 Main St, Paterson, NJ 07503-2621 | 9737542499 | NORTH AMERICAN PARTNERS IN PAIN MANAGEMENT NEW JERSEY LLC |
| Organization Legal Name | NORTH AMERICAN PARTNERS IN PAIN MANAGEMENT NEW JERSEY LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Umanoff | Pain Management | North American Partners In Pain Management New Jersey LLC | 925 Clifton Ave, Clifton, NJ 07013-2724 |
| Uzma Parvez | Pain Management | North American Partners In Pain Management New Jersey LLC | 925 Clifton Ave, Clifton, NJ 07013-2724 |
| Street Address |
703 MAIN ST |
| City | PATERSON |
| State | NJ |
| Zip | 07503-2621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Althea N. Wilson | Physician Assistant | St Josephs Healthcare Inc | 703 Main St, Paterson, NJ 07503-2621 |
| Bassam E Hashem | Internal Medicine | St Josephs Healthcare Inc | 703 Main St, Paterson, NJ 07503-2621 |
| Marco E Propersi | Emergency Medicine | St. Joseph's Emergency Physicians Inc | 703 Main St, Paterson, NJ 07503-2621 |
| Robert Madlinger | General Surgery | St Josephs Healthcare Inc | 703 Main St, Paterson, NJ 07503-2621 |
| David P Bleeker | Internal Medicine | St Josephs Healthcare Inc | 703 Main St, Paterson, NJ 07503-2621 |
| Anand K Swaminathan | Emergency Medicine | St. Joseph's Emergency Physicians Inc | 703 Main St, Paterson, NJ 07503-2621 |
| Joseph Michael Duffy | Family Medicine | St Josephs Healthcare Inc | 703 Main St, Paterson, NJ 07503-2621 |
| Walid J Baddoura | Gastroenterology | St Josephs Healthcare Inc | 703 Main St, Paterson, NJ 07503-2621 |
| Abir Rahman | Physical Medicine and Rehabilitation | St Josephs Healthcare Inc | 703 Main St, Paterson, NJ 07503-2621 |
| Altaf T Rasool | Internal Medicine | Hospitalist Medicine Physicians of New Jersey - Paterson, PC | 703 Main St, Paterson, NJ 07503-2621 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Matina | Nurse Practitioner | Heart and Vascular Associates of Northern Jersey, P.a. | 183 Illinois Ave, Paterson, NJ 07503-1536 |
| Jeffrey L Gold | Internal Medicine | Heart and Vascular Associates of Northern Jersey, P.a. | 183 Illinois Ave, Paterson, NJ 07503-1536 |
| Vibu K Varghese | Internal Medicine | Heart and Vascular Associates of Northern Jersey, P.a. | 183 Illinois Ave, Paterson, NJ 07503-1536 |
| Nora Ajdir | Internal Medicine | Heart and Vascular Associates of Northern Jersey, P.a. | 183 Illinois Ave, Paterson, NJ 07503-1536 |
| Enas Khanneh | Internal Medicine | Heart and Vascular Associates of Northern Jersey, P.a. | 183 Illinois Ave, Paterson, NJ 07503-1536 |
| Darsan Patel | Internal Medicine | Heart and Vascular Associates of Northern Jersey, P.a. | 183 Illinois Ave, Paterson, NJ 07503-1536 |
| Ashesha Mechineni | Internal Medicine | Heart and Vascular Associates of Northern Jersey, P.a. | 183 Illinois Ave, Paterson, NJ 07503-1536 |
| Sumeet Dhindsa | Internal Medicine | Heart and Vascular Associates of Northern Jersey, P.a. | 183 Illinois Ave, Paterson, NJ 07503-1536 |
| Astha Agrawal | Internal Medicine | Heart and Vascular Associates of Northern Jersey, P.a. | 183 Illinois Ave, Paterson, NJ 07503-1536 |
| Christine Sticco | Obstetrics/gynecology | Womens Health of New Jersey LLC | 1044 Main St, Paterson, NJ 07503-2212 |
| Find all physicians in zip 07503 | |||
| City | PATERSON |
| Zip Code | 07503 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PATERSON + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.