Ira R Stark, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

OS004175L Issued in PA

Practice address

230 N Broad St
Philadelphia, PA 19102-1121

Phone

(215) 762-1808

Fax

(215) 762-4721

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Philadelphia College of Osteopathic Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The New Jersey Imaging Network, LLCGroup PAC ID 2860633492, 68 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.64 of 100Reported as group

Quality

55.71

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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

• The New Jersey Imaging Network, LLC

  dba DRA of Morristown at Cedar Knolls

  • Radiology Clinic/Center
  • Cedar Knolls, NJ
  • NPI 1629327887
  Medicare reassignment Care Compare group NPD
• Springdale Radiology, LLC

  • Diagnostic Radiology Physician
  • Cherry Hill, NJ
  • NPI 1083710602
  NPD (past) Authorized official
• Temple University of the Commonwealth System of Higher Education

  dba Temple University Kornberg School of Dentistry OS

  • Oral and Maxillofacial Surgery (Dentist)
  • Philadelphia, PA
  • NPI 1912687187
  NPD (past)
• Temple University of the Commonwealth System of Higher Education

  dba NJ Sports Medicine Temple

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Marlton, NJ
  • NPI 1932197563
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1710987854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022100",
            "telephone_number": "215-255-3828",
            "fax_number": "215-255-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021121",
            "telephone_number": "215-762-1808",
            "fax_number": "215-762-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "IRA",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS004175L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0371807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Starer, MSS
• Stargate Health Solutions, Inc
• Stargaze Behavioral Health
• Stark Homecare
• Courtney Stark, DO
• Lauren Michelle Stark, P.T., D.P.T.
• Talia Stark, MD
• Lisa Erin Starke, MS, OTR/L
• Lakeisha Sherray Starkes, FNP-BC
• Kaseem Starkey, MD

• Diagnostic Radiology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.