Jeffrey Howard Stark, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004970 Issued in NY

Practice address

6216 Myrtle Ave
Glendale, NY 11385-6236

Phone

(718) 821-2161

Fax

(718) 821-1252

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parcare Community Health Network IncGroup PAC ID 4981823390, 99 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: jeffreystark@whmc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1730454083
  Medicare reassignment Care Compare group NPD
• American Medical Today P.C.

  • General Practice Physician
  • Brooklyn, NY
  • NPI 1710471800
  Medicare reassignment NPD
• Glenwood Podiatry PC

  • Podiatrist
  • Glendale, NY
  • NPI 1972938512
  NPD Authorized official
• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1942795943
  NPD
• Rite Medical PLLC

  • General Practice Physician
  • Rhinebeck, NY
  • NPI 1114536034
  NPD
• Wyckoff Heights Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1700886322
  NPD
• All City Family Healthcare Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
  • NPI 1215939186
  NPD (past)
• Good Health Medical, P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1619056314
  NPD (past)
• Koch Pharmacy Corp

  • Pharmacy
  • Brooklyn, NY
  • NPI 1982741377
  NPD (past)
• TBHC Medical Services PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1508959743
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1124112255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856236",
            "telephone_number": "718-821-2161",
            "fax_number": "718-821-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856236",
            "telephone_number": "718-821-2161",
            "fax_number": "718-821-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "JEFFREY",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01758718",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Michele Spang, MA, SLP, TSSLD
• Spyros Tsoumpariotis
• SRN Chiropractic, PC
• St Anthony'S Physical Therapy PC
• Daphne St Valliere, LCSW
• Stats Medical Equipment, Inc.
• Synthia Fani Steiman, MS, OTR/L
• Michael Louis Steinberg, D.D.S.
• Steven B. Tung, M.D.P.C.
• Frank Strobing

• Podiatrist in Glendale, NY
• Providers in Glendale, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.