Individual provider Active NPI

James William Stark, M.D.

  • Neurology Physician
  • New York, NY
National Provider Identifier
1760658264
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
248177-1 Issued in NY
Practice address
521 W 57TH St FL 4
New York, NY 10019-2929
Phone
(212) 265-8070
Fax
(212) 265-8194
NPI assigned
May 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 248177-1 NY Primary

Addresses

Primary practice location

521 W 57TH St FL 4
New York, NY 10019-2929

Mailing address

521 W 57TH St FL 4
New York, NY 10019-2929
Phone (212) 265-8070

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20081118000355 NY Practitioner - Neurology 9133289317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Albert Einstein College of Medicine of Yeshiva University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multiple Sclerosis Medical Practice of New York PCGroup PAC ID 9133384183, 2 clinicians

Practice addresses (Care Compare)

521 W 57TH St
FL 4
New York, NY 10019-2929
Phone (212) 265-8070

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248177-1NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multiple Sclerosis Medical Practice of New York PC CurrentSince Jul 1, 2020 Accepting new patients
International Multiple Sclerosis Management Practice, PC Neurology CurrentSince Apr 26, 2010 Accepting new patients

Locations

521 W 57th St
Fl 4
New York, NY 10019
Phone (212) 265-8070

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1760658264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W 57TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192929",
            "telephone_number": "212-265-8070",
            "fax_number": "212-265-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W 57TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192929",
            "telephone_number": "212-265-8070",
            "fax_number": "212-265-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "248177-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.