MARY STARK (NPI# 1588891295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588891295 |
| Entity Type | Individual |
| Full Name | MARY STARK |
| Practice Address |
67 Heritage Ln Riverhead NY 11901-5702 |
| Practice Telephone | 6317224636 |
| Mailing Telephone | 6317224636 |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2009-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
345991-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871629055 | Mary Kathryn Stark | Nurse Practitioner | 3668 N Harbor Ln, Boise, ID 83703-6914 | 2007-02-24 |
| 1255413944 | Mary E Stark | Registered Nurse | 30 Harriman Drive, Goshen, NY 10924 | 2006-10-20 |
| 1710916143 | Mary Kathleen Stark | Specialist/Technologist | 7559 Sherlock Dr, Onsted, MI 49265-9416 | 2006-06-30 |
| 1851352884 | Mary Jean Stark | Physician Assistant | 755 Norman Dr, Lebanon, PA 17042-7497 | 2006-03-29 |
| Street Address |
67 HERITAGE LN |
| City | RIVERHEAD |
| State | NY |
| Zip Code | 11901-5702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102786 | Michael Arthur Frangeskos | Physician Assistant | 1330 Roanoke Avenue, Riverhead, NY 11901 | 2020-01-06 |
| 1922569136 | Mjd Optical Corp | Optometrist | 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 | 2019-03-29 |
| 1356837702 | Justin M Liu | Physician Assistant | 31 Main Rd Ste 3, Riverhead, NY 11901 | 2018-07-09 |
| 1467943522 | North Shore Hematology Oncology Associates PC | Clinic/Center | 750 Old Country Rd Bldg 2, Riverhead, NY 11901 | 2018-05-24 |
| 1063918688 | Riverhead Volunteer Ambulance Corps Inc | Ambulance | 111 Osborn Ave, Riverhead, NY 11901 | 2018-04-03 |
| 1669977906 | Joseph Cataldo | Student in an Organized Health Care Education/Training Program | 64 Ida Lane, Riverhead, NY 11901 | 2018-03-28 |
| 1861903056 | The Flanders Northampton Volunteer Ambulance Company Inc | Ambulance | 641 Flanders Road, Flanders, NY 11901 | 2017-10-16 |
| 1336676659 | Patricia Ann Leask | Registered Nurse | 300 Center Drive Suite 250, Methadone Clinic Department of Mental Health, Riverhead, NY 11901 | 2017-05-17 |
| 1922463447 | Diana Williams-burke | Counselor | 550 East Main St Suite 103, Riverhead, NY 11901 | 2015-12-29 |
| 1699155549 | Twin Forks Optometry, Pllc | Optometrist | 25 Cranberry Street, Riverhead, NY 11901 | 2015-06-05 |
| Find all providers in zip 11901 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518140151 | Hollie Tuthill Christopher | Registered Nurse | 515 Ostrander Ave, Riverhead, NY 11901-4679 | 2007-12-05 |
| 1962604322 | Claudia C Gray Rose | Registered Nurse | 67 Chris Sundrop Court, Riverhead, NY 11901 | 2007-06-05 |
| 1114014370 | Lewin Services, Inc. | Registered Nurse | 165 Oliver St, Riverhead, NY 11901-6216 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192575 | Deni L Lobrutto | Registered Nurse | 80 Park Ln, Grand Island, NY 14072-3340 | 2020-10-22 |
| 1386243079 | Melanie Yap | Registered Nurse | 5334 206th St, Oakland Gardens, NY 11364-1714 | 2020-10-22 |
| 1932707155 | Nurselance Health LLC | Registered Nurse | 1044 E 105th St, Brooklyn, NY 11236-3002 | 2020-10-09 |
| 1487260063 | Mei Ling Gilbert | Registered Nurse | 10 Woodside Ave, Elmsford, NY 10523-2810 | 2020-09-19 |
| 1164037180 | Elizabeth Ann Primiano | Registered Nurse | 394 Ocean Ave, Massapequa, NY 11758-5228 | 2020-09-15 |
| 1508471236 | Samantha Kate Saraceno | Registered Nurse | 107 Rumbold Ave, North Tonawanda, NY 14120-4623 | 2020-09-10 |
| 1831703826 | Lateisha Freeman | Registered Nurse | 1 Cross Island Plz Ste 210, Rosedale, NY 11422-1456 | 2020-09-07 |
| 1891307658 | Jessica Ruggiero | Registered Nurse | 59 Rose St, Hastings On Hudson, NY 10706-3410 | 2020-08-21 |
| 1245842053 | Mary Reiner | Registered Nurse | 16 Harold St, Nanuet, NY 10954-3733 | 2020-08-21 |
| 1982221164 | Rebecca Armbrust | Registered Nurse | 225 Hilltop Dr, Elma, NY 14059-9412 | 2020-07-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.