Jeffrey Howard Stark DPM

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

N004970 Issued in NY

Legal business name

JEFFREY HOWARD STARK DPM

Practice address

6216 Myrtle Ave
Glendale, NY 11385-6236

Phone

(718) 821-2161

Fax

(718) 821-1252

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Howard Stark, DPM

Title

Owner

Phone

(718) 821-2161

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230163200000",
    "number": "1750566881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856236",
            "telephone_number": "718-821-2161",
            "fax_number": "718-821-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856236",
            "telephone_number": "718-821-2161",
            "fax_number": "718-821-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY HOWARD STARK DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-12-25",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-821-2161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N004970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Jakubowitz, DDS
• Alice Mary Jannazzo, RPH
• Miriam Filali Jaouhari
• Jasjit K. Pawha, Physician, P.C.
• Kamila E Jaskowiak, MS. SP.ED
• Monica Andrea Jimenez
• Dana Josephs
• Janki Pravin Joshi, PT
• Maureen Kahl, RN
• Joan Herman Kahn, M.A., CCC-SLP

• Durable Medical Equipment & Medical Supplies in Glendale, NY
• Providers in Glendale, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2008; 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.