JEFFREY HOWARD STARK DPM (NPI# 1750566881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750566881 |
| Entity Type | Organization |
| Organization Name | JEFFREY HOWARD STARK DPM |
| Practice Address |
6216 Myrtle Ave Glendale NY 11385-6236 |
| Practice Telephone | 7188212161 |
| Practice Fax Number | 7188211252 |
| Mailing Telephone | 7188212161 |
| Mailing Fax Number | 7188211252 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-12-25 |
| Authorized Official Name | DR. JEFFREY HOWARD STARK (OWNER) |
| Authorized Official Telephone | 7188212161 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | N004970 | NY | Suppliers |
| Street Address |
6216 MYRTLE AVE |
| City | GLENDALE |
| State | NY |
| Zip Code | 11385-6236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124112255 | Jeffrey Howard Stark | Podiatrist | 6216 Myrtle Ave, Glendale, NY 11385-6236 | 2006-10-03 |
| 1972938512 | Glenwood Podiatry PC | Podiatrist | 6216 Myrtle Ave, Glendale, NY 11385-6236 | 2013-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805918 | Rowan Clarke | Durable Medical Equipment & Medical Supplies | 7818 85th St, Glendale, NY 11385-7615 | 2020-09-15 |
| 1669081501 | Thrify Payless Inc | Durable Medical Equipment & Medical Supplies | 100 W Broadway Ste 5516, Glendale, CA 91210-1202 | 2020-07-27 |
| 1093336984 | Love LLC | Durable Medical Equipment & Medical Supplies | 1027 S Central Ave Ste 300, Glendale, CA 91204-3973 | 2020-05-01 |
| 1164051900 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 5234 W. Missouri, Glendale, AZ 85301 | 2020-04-03 |
| 1740827260 | Trinity Barcing, Inc | Durable Medical Equipment & Medical Supplies | 7721 79th Place, Ground, Glendale, NY 11385-7537 | 2019-12-03 |
| 1932760535 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1487 E Chevy Chase Dr, Glendale, CA 91206-4008 | 2019-06-25 |
| 1093207755 | Km Medical Supplies | Durable Medical Equipment & Medical Supplies | 469 W Windsor Rd Apt 1, Glendale, CA 91204-1925 | 2018-05-30 |
| 1619470085 | Kokopelli Eye Care PC | Durable Medical Equipment & Medical Supplies | 5140 W Peoria Ave Ste 116, Glendale, AZ 85302-1631 | 2018-03-13 |
| 1427556588 | Joints In Motion Medical, LLC | Durable Medical Equipment & Medical Supplies | 525 W. Riverwoods Parkway #120, Glendale, WI 53212 | 2018-01-24 |
| 1962919449 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 5605 W Eugie Ave Ste 206, Glendale, AZ 85304-1274 | 2018-01-05 |
| Find all providers in GLENDALE | ||||
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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.