Organization Active NPI

Star Medcare PC

  • Physical Medicine & Rehabilitation Physician
  • Newark, NJ
National Provider Identifier
1699376129
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
STAR MEDCARE PC
Practice address
62 Elizabeth Ave.
Newark, NJ 07108
Phone
(845) 826-0060
NPI assigned
Nov 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Nathan Zemel, MD
Title
Authorized Official
Phone
(845) 826-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

62 Elizabeth Ave.
Newark, NJ 07108

Mailing address

7 Devash CT
Lakewood, NJ 08701-3663
Phone (845) 642-6429

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201118003064 NJ Part B Supplier - Clinic/Group Practice 9739590910 Receives reassigned benefits from 6 practitioners
Practice locations: Newark, NJ; Paterson, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2221471Star Medcare PC62 Elizabeth Ave, Newark, NJ 07108Certificate of waiverApr 20, 2027

National Provider Directory

National Provider Directory

Locations

62 Elizabeth Ave
Newark, NJ 07108

207 19th Ave
Paterson, NJ 07504

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1699376129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DEVASH CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013663",
            "telephone_number": "845-642-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 ELIZABETH AVE.",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07108",
            "telephone_number": "845-826-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MEDCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "ZEMEL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "845-826-0060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.