Individual provider Active NPI

Steven D. Starkman, O.D.

  • Optometrist
  • Teaneck, NJ
National Provider Identifier
1659352540
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA 4411/TO 00261 Issued in NJ
Practice address
489 Cedar LN
Teaneck, NJ 07666-1710
Phone
(201) 836-9199
Fax
(201) 357-4462
NPI assigned
Nov 8, 2005
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA 4411/TO 00261 NJ Primary

Addresses

Primary practice location

489 Cedar LN
Teaneck, NJ 07666-1710

Mailing address

489 Cedar LN
Teaneck, NJ 07666-1710
Phone (201) 836-9199

Other practice location 1

677 Anderson Ave
Cliffside Park, NJ 07010-1919
Phone (201) 941-3937

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050729000082 NJ Practitioner - Optometry 7113955303 Practice locations: Teaneck, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

489 Cedar LN
Teaneck, NJ 07666-1710
Phone (201) 836-9199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA 4411/TO 00261NJMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1659352540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661710",
            "telephone_number": "201-836-9199",
            "fax_number": "201-357-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661710",
            "telephone_number": "201-836-9199",
            "fax_number": "201-357-4462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "677 Anderson Ave",
            "address_purpose": "LOCATION",
            "city": "Cliffside Park",
            "state": "NJ",
            "postal_code": "070101919",
            "country_code": "US",
            "telephone_number": "201-941-3937",
            "fax_number": "201-941-1944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARKMAN",
        "first_name": "STEVEN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA 4411/TO 00261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.