Individual provider Active NPI

Sanford R. Stark, CRNA, PHD

  • Certified Registered Nurse Anesthetist
  • Woodbury, NJ
National Provider Identifier
1457354904
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NR06803000 Issued in NJ
Practice address
323 S Girard St
Woodbury, NJ 08096-5759
Phone
(856) 853-9277
Fax
(856) 853-1633
NPI assigned
May 28, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NR06803000 NJ Primary

Addresses

Primary practice location

323 S Girard St
Woodbury, NJ 08096-5759

Mailing address

323 S Girard St
Woodbury, NJ 08096-5759
Phone (856) 853-9277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220000204 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901790690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shrewsbury Ambulatory Anesthesia LLCGroup PAC ID 4385899962, 141 clinicians

Practice addresses (Care Compare)

3140 Princeton Pike
FL 2
Lawrenceville, NJ 08648-2330
Phone (609) 895-1919

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (833) 958-2198

655 Shrewsbury Ave
Shrewsbury, NJ 07702-4179
Phone (732) 450-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
26NR06803000NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Shrewsbury Ambulatory Anesthesia LLC CurrentSince May 9, 2025 Accepting new patients
Methodist Associates in Healthcare of New Jersey, P.C. CurrentSince Dec 1, 2025 Accepting new patients
Methodist Associates in Healthcare of New Jersey, P.C. Current Accepting new patients
Advanced Anesthesia Associates, PC Past Accepting new patients
Society Hill Anesthesia Consultants, PC Past Accepting new patients

Locations

3140 Princeton Pike
Fl 2
Lawrenceville, NJ 08648
Phone (609) 895-1919

130 Gaither Dr
Ste 160
Mount Laurel, NJ 08054
Phone (609) 722-7000

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

405 Bethel Rd
Somers Point, NJ 08244
Phone (609) 601-7600

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1457354904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S GIRARD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080965759",
            "telephone_number": "856-853-9277",
            "fax_number": "856-853-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S GIRARD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080965759",
            "telephone_number": "856-853-9277",
            "fax_number": "856-853-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "SANFORD",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "CRNA, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NR06803000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.