Provider Demographics
NPI:1699376129
Name:STAR MEDCARE PC
Entity Type:Organization
Organization Name:STAR MEDCARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEMEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-826-0060
Mailing Address - Street 1:7 DEVASH CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3663
Mailing Address - Country:US
Mailing Address - Phone:845-642-6429
Mailing Address - Fax:
Practice Address - Street 1:62 ELIZABETH AVE.
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07108
Practice Address - Country:US
Practice Address - Phone:845-826-0060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty