Active NPIIndividual providerSole proprietor

Jonathan Stark, PTA

Physical Therapy Assistant in Parsippany, New Jersey

NPI Number1215559497
Practice location
100 Mazdabrook RD, Parsippany, NJ 07054-3304
Fax
—
Last updated
May 11, 2020

Jonathan Stark is a Physical Therapy Assistant based in Parsippany, NJ. Jonathan Stark practices in Parsippany, NJ and has the professional credentials of PTA. The NPI Number for Jonathan Stark is 1215559497 and holds a License No. 40QB00352200 (NJ). The current practice location address for Jonathan Stark is 100 Mazdabrook RD, Parsippany, NJ 07054-3304 and can be reached out via phone at 973-952-5300.

Provider Profile Details

NPI Number
1215559497
Provider Name
Jonathan Stark
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
100 Mazdabrook RD, Parsippany, NJ 07054-3304
Phone Number
973-952-5300
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
May 11, 2020
Last Update Date
May 11, 2020
Certification Date
May 11, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Mazdabrook RD
Parsippany, NJ 07054-3304
Zip
07054-3304
Phone Number
973-952-5300
Parsippany, NJ 07054Get directions →

Provider Business Mailing Address Details

Address
152 Western Ave
Morristown, NJ 07960-5035
City
Morristown
State
NJ
Zip
07960-5035
Phone Number
973-634-5024

License Information

License Number
40QB00352200
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jonathan Stark, PTA?

The NPI number of Jonathan Stark, PTA is 1215559497. It was assigned on May 11, 2020 and is currently active in the NPPES registry.

What is the specialty of Jonathan Stark, PTA?

Jonathan Stark, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00352200.

Where does Jonathan Stark, PTA practice?

The practice location is 100 Mazdabrook RD, Parsippany, NJ 07054-3304. The office can be reached at 973-952-5300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215559497 directly on the NPPES registry website.

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