Active NPI
Harry Stark, M.D
- Emergency Medicine Physician
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 304147
- Practice address
- 967 N Broadway
Medical Education Dept.
Yonkers, NY 10701-1301 - Phone
- (914) 798-8971
- NPI assigned
- May 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA10943600 | NJ | |
| Emergency Medicine Physician | 207P00000X | 57651 | KY | |
| Emergency Medicine Physician | 207P00000X | 304147 | NY | Primary |
Addresses
Primary practice location
967 N Broadway
Medical Education Dept.
Yonkers, NY 10701-1301
Mailing address
1133 Warburton Ave Apt 814S
Yonkers, NY 10701-1168
Phone (754) 234-9459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (954) 939-5000
Hospital & facility affiliations
- Southern Ocean Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 38.78 of 100
- Quality
- 30
- Improvement activities
- 0
- Cost
- 58.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10943600 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barron Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Associates of North Jersey P C | Emergency Medicine | Current | Accepting new patients |
Locations
300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460
1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Manahawkin, NJ
- NPI 1790736940
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1154857944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 WARBURTON AVE APT 814S",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011168",
"telephone_number": "754-234-9459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "967 N BROADWAY",
"address_2": "MEDICAL EDUCATION DEPT.",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011301",
"telephone_number": "914-798-8971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "HARRY",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA10943600",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "57651",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "304147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.