JILL STARK DPM NPI 1336816917

NPI Information

  • NPI: 1336816917
  • Provider Name: JILL STARK, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • Address: 104 PENSION RIDGE RD
    BOOTHBAY, ME
    ZIP 04537
  • Phone: (201) 294-5672

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NPI Details

Jill Stark, DPM is a podiatrist in Boothbay, ME. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Jill Stark, DPM NPI is 1336816917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

104 PENSION RIDGE RD
BOOTHBAY, ME
ZIP 04537-810
Phone: (201) 294-5672

The enumeration date for this NPI number is 8/23/2021 and was last updated on 8/23/2021.

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
1213E00000XPodiatrist006857NEW YORKYes

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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