DR. JEFFREY M STARK D.P.M.
NPI 1114922994
Podiatrist - Primary Podiatric Medicine in Oceanside, NY

Active since June 17, 2005
1 DUNCAN PL, OCEANSIDE, NY 11572(516) 764-3500(516) 536-4236 Get Directions Write a Review

NPPES record last updated: May 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jeffrey M Stark D.p.m. NPPES

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

DR. JEFFREY M STARK D.P.M. (NPI 1114922994) is an individual primary podiatric medicine provider in Oceanside, New York, licensed in New York (NOO3165-1) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1114922994
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameDR. JEFFREY M STARKCredential: D.P.M.
Location Address1 DUNCAN PLOceanside, NY 11572-1306
Mailing Address1 Duncan PlOceanside, NY 11572-1306 · (516) 764-3500 · Fax (516) 536-4236
Fax(516) 536-4236
Sole ProprietorYes
Enumeration DateJune 17, 2005
Last NPPES UpdateMay 6, 2010
NPI 1114922994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License Licensed in NY · NOO3165-1
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License N003165-1 (NY)
1 DUNCAN PL, Oceanside, NY 11572

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
1 DUNCAN PL
OCEANSIDE, NY 11572

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Stark's NPI number?

The NPI number for Jeffrey Stark is 1114922994. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Jeffrey Stark located?

Jeffrey Stark practices at 1 Duncan Pl, Oceanside, NY 11572. The listed phone number is (516) 764-3500.

What is Jeffrey Stark's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

When was this NPI record last updated?

The NPPES record for Jeffrey Stark was last updated on May 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.