RICHARD STARK MD
NPI 1104853308
Internal Medicine - Hematology & Oncology in Lake Success, NY

Q: What is Richard Stark's NPI number?

The NPI number for Richard Stark is 1104853308. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Q: What is Richard Stark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Richard Stark was last updated on October 1, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 26, 2006PECOS Enrolled

1999 MARCUS AVE, STE 120, LAKE SUCCESS, NY 11042(516) 466-6611(516) 466-9582 Get Directions Write a Review

NPPES record last updated: October 1, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Richard Stark Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD STARK MD (NPI 1104853308) is an individual hematology & oncology provider in Lake Success, New York, licensed in New York (132802) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104853308

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameRICHARD STARKCredential: MD

Location Address1999 MARCUS AVE, STE 120Lake Success, NY 11042

Mailing Address1999 Marcus Ave, Ste 120Lake Success, NY 11042 · (516) 466-6611 · Fax (516) 466-9582

Phone(516) 466-6611

Fax(516) 466-9582

Sole ProprietorNo

Enumeration DateJune 26, 2006

Last NPPES UpdateOctober 1, 2007

✔ NPI 1104853308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in NY · 132802

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1999 MARCUS AVE, Lake Success, NY 11042

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Other Identifiers 2

Medicare PIN81A2910NY

Medicare UPINB79583

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Stark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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