Dr Noah Stark, DPM is a medicare enrolled "Podiatrist" provider in Roselle Park, New Jersey. He went to New York College Of Podiatric Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Healthdrive Podiatry Group Pc and his current practice location is
318 Chestnut St, Roselle Park, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(908) 687-5757.
Dr Noah Stark is licensed to practice in New Jersey (license number 25MD00340400) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508302076.
Healthcare Provider's Profile
| Full Name | Dr Noah Stark |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 9 Years |
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| Location | 318 Chestnut St, Roselle Park, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Noah Stark attended and graduated from New York College Of Podiatric Medicine in 2015
NPI Data:
- NPI Number: 1508302076
- Provider Enumeration Date: 01/09/2017
- Last Update Date: 01/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 6800134735
- Enrollment ID: I20190219000344
Medical Identifiers
Medical identifiers for Dr Noah Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508302076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 25MD00340400 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Healthdrive Podiatry Group Pc | 3375446958 | 93 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Noah Stark allows following entities to bill medicare on his behalf.
| Provider Name | Associates In Podiatry Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184700809
PECOS PAC ID: 8325094576
Enrollment ID: O20050330000868 |
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| Provider Name | Healthdrive Podiatry Group Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1013106533
PECOS PAC ID: 3375446958
Enrollment ID: O20050810000144 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Noah Stark is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Noah Stark, DPM
1034 Clinton St, Apartment 410,
Hoboken, NJ 07030-3133
Ph: (973) 699-6360 | Dr Noah Stark, DPM
318 Chestnut St,
Roselle Park, NJ 07204
Ph: (908) 687-5757 |
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