JILL STARK DPM
NPI 1336816917
Podiatrist in Boothbay, ME

Active since August 23, 2021
104 PENSION RIDGE RD, BOOTHBAY, ME 04537(201) 294-5672 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jill Stark Dpm NPPES

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

JILL STARK DPM (NPI 1336816917) is an individual podiatrist in Boothbay, Maine, licensed in New York (006857) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1336816917
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameJILL STARKCredential: DPM
Location Address104 PENSION RIDGE RDBoothbay, ME 04537-4810
Mailing Address104 Pension Ridge RdBoothbay, ME 04537-4810 · (201) 294-5672
Sole ProprietorYes
Enumeration DateAugust 23, 2021
NPPES CertifiedAugust 23, 2021
NPI 1336816917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in NY · 006857
Definition
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.
104 PENSION RIDGE RD, Boothbay, ME 04537

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 Jill Stark's NPI number?

The NPI number for Jill Stark is 1336816917. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Jill Stark located?

Jill Stark practices at 104 Pension Ridge Rd, Boothbay, ME 04537. The listed phone number is (201) 294-5672.

What is Jill Stark's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Jill Stark was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.