Organization Active NPI

John J Starke M D P a

  • Otolaryngology Physician
  • Hazlet, NJ
National Provider Identifier
1063605673
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
JOHN J STARKE M D P A
Practice address
80 Hazlet Ave
Suite 9
Hazlet, NJ 07730-1623
Phone
(732) 888-0800
Fax
(732) 888-4643
NPI assigned
Aug 27, 2007
Organization subpart
Yes
Parent organization
JOHNJSTARKEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John J Starke, M.D.
Title
Doctor
Phone
(732) 888-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

80 Hazlet Ave
Suite 9
Hazlet, NJ 07730-1623

Mailing address

80 Hazlet Ave
Suite 9
Hazlet, NJ 07730-1623
Phone (732) 888-0800

Other identifiers 1

IdentifierTypeStateIssuer
2750601MedicaidNJ

National Provider Directory

National Provider Directory
Part of
John J Starke MD PA

Locations

80 Hazlet Ave
Ste 9
Hazlet, NJ 07730
Phone (732) 888-0800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1063605673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HAZLET AVE",
            "address_2": "SUITE 9",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301623",
            "telephone_number": "732-888-0800",
            "fax_number": "732-888-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HAZLET AVE",
            "address_2": "SUITE 9",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301623",
            "telephone_number": "732-888-0800",
            "fax_number": "732-888-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J STARKE M D P A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNJSTARKE",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "STARKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "732-888-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2750601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.