Jeffrey M Stark, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

N003165-1 Issued in NY

Legal business name

JEFFREY M STARK, DPM

Practice address

1 Duncan PL
Oceanside, NY 11572-1306

Phone

(516) 765-3500

Fax

(516) 536-4236

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey M Stark, DPM

Title

Podiatrist

Phone

(516) 764-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Jeffrey M. Stark, DPM Doing business as

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1194891424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DUNCAN PL",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721306",
            "telephone_number": "516-765-3500",
            "fax_number": "516-536-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DUNCAN PL",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721306",
            "telephone_number": "516-765-3500",
            "fax_number": "516-536-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M STARK, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "516-764-3500",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N003165-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00490042",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jeffrey M. Stark, DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian J. Janicek, P.A.
• Fe Jaurigue
• Aisha Javaid, PHYSICIAN ASSISTANT
• Paul Jean-Charles, MD
• Daniah G Jean-Francois, N.P.
• Maria Antonieta Jensen, NURSE PRACTITIONER
• Jess'S Kids, Inc.
• Jessica Wahl
• Jillian Irwin DPM, P.C.
• Jerin Jacob John

• Foot & Ankle Surgery Podiatrist in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.