MISS JULIETTE VERONICA STARK PA-C
NPI 1720750144
Physician Assistant - Medical in Bronx, NY
About Miss Juliette Veronica Stark Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS JULIETTE VERONICA STARK PA-C (NPI 1720750144) is an individual medical provider in Bronx, New York and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Juliette Veronica Stark Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10467
BRONX, NY 10467
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 Juliette Stark's NPI number?
The NPI number for Juliette Stark is 1720750144. It was assigned to this individual provider in the NPPES registry on October 4, 2021.
Where is Juliette Stark located?
Juliette Stark practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-5731.
What is Juliette Stark's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Juliette Stark enrolled in Medicare?
Yes. Juliette Stark is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Juliette Stark was last updated on October 20, 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.
# Miss Juliette Veronica Stark, PA-C · NPI 1720750144
Medical physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since October 4, 2021.
## Identity
- **NPI:** 1720750144 (Entity type: Individual)
- **Enumerated:** October 4, 2021
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 111 E 210TH ST, Bronx, NY 10467-2401
- **Phone:** (718) 920-5731
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** October 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1720750144) · Data from the CMS NPPES public registry.