Starlight Management Services Plus Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

STARLIGHT MANAGEMENT SERVICES PLUS CORP

Practice address

6 Landmark SQ
Stamford, CT 06901-2704

Phone

(203) 359-5705

NPI assigned

Aug 11, 2010

Last updated

Aug 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marat Mendalin

Title

Owner/President

Phone

(203) 359-5705

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1417262783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LANDMARK SQ",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012704",
            "telephone_number": "203-359-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LANDMARK SQ",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012704",
            "telephone_number": "203-359-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT MANAGEMENT SERVICES PLUS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "MENDALIN",
        "authorized_official_first_name": "MARAT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "203-359-5705"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.