JEFFREY M STARK DPM NPI 1194891424

NPI Information

  • NPI: 1194891424
  • Provider Name: JEFFREY M STARK, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Doing Business As: DR. JEFFREY M. STARK, DPM
  • Address: 1 DUNCAN PL
    OCEANSIDE, NY
    ZIP 11572
  • Phone: (516) 765-3500

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NPI Details

JEFFREY M STARK, DPM is a foot and ankle surgery podiatrist in Oceanside, NY. JEFFREY M STARK, DPM NPI is 1194891424. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr. Jeffrey M. Stark, Dpm.

The provider's business location address is:

1 DUNCAN PL
OCEANSIDE, NY
ZIP 11572-306
Phone: (516) 765-3500
Fax: (516) 536-4236

The provider's authorized official is Jeffrey M Stark .
The authorized official title is Podiatrist and has the following contact phone number (516) 764-3500.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 5/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryN003165-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T50966MEDICARE UPINNEW YORK
200490042MEDICAIDNEW YORK
3480000074MEDICARE OSCAR/CERTIFICATIONNEW YORK
43933130001MEDICARE NSCNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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