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GLENWOOD PODIATRY PC
NPI 1972938512
Podiatrist in Glendale, NY

Active since September 12, 2013
6216 MYRTLE AVE, GLENDALE, NY 11385(718) 821-2161(718) 821-1252 Get Directions Write a Review

NPPES record last updated: November 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenwood Podiatry Pc NPPES

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

GLENWOOD PODIATRY PC (NPI 1972938512) is a healthcare organization registered as a podiatrist in Glendale, New York and active in the NPI registry since September 2013. The organization lists Jeffrey H Stark, President, as its authorized official.

NPPES Registry Identity

NPI1972938512
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameGLENWOOD PODIATRY PC
Location Address6216 MYRTLE AVEGlendale, NY 11385-6236
Mailing Address6216 Myrtle AveGlendale, NY 11385-6236 · (718) 821-2161 · Fax (718) 821-1252
Phone(718) 821-2161
Fax(718) 821-1252
Organization SubpartNo
Authorized OfficialJeffrey H StarkPresident · (718) 821-2161
Enumeration DateSeptember 12, 2013
Last NPPES UpdateNovember 7, 2013
✔ NPI 1972938512 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 · N004970
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.
6216 MYRTLE AVE, Glendale, NY 11385
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Other Identifiers 2

Medicare PIN02423NY
Medicare PINP55121NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. JEFFREY HOWARD STARK DPM
Podiatrist
6216 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 821-2161
JEFFREY HOWARD STARK DPM
Durable Medical Equipment & Medical Supplies
6216 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 821-2161

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 Glenwood Podiatry PC's NPI number?

The NPI number for Glenwood Podiatry PC is 1972938512. It was assigned to this organization in the NPPES registry on September 12, 2013.

Where is Glenwood Podiatry PC located?

Glenwood Podiatry PC is located at 6216 Myrtle Ave, Glendale, NY 11385. The listed phone number is (718) 821-2161.

What is Glenwood Podiatry PC'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 Glenwood Podiatry PC was last updated on November 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.