Provider Demographics
| NPI: | 1255448155 |
|---|---|
| Name: | STARLING PHYSICIANS PC |
| Entity type: | Organization |
| Organization Name: | STARLING PHYSICIANS PC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | JEFFREY |
| Authorized Official - Middle Name: | D |
| Authorized Official - Last Name: | LEBENGER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 908-790-6567 |
| Mailing Address - Street 1: | 2110 SILAS DEANE HWY |
| Mailing Address - Street 2: | |
| Mailing Address - City: | ROCKY HILL |
| Mailing Address - State: | CT |
| Mailing Address - Zip Code: | 06067-2313 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 860-258-3470 |
| Mailing Address - Fax: | 860-571-6800 |
| Practice Address - Street 1: | 300 KENSINGTON AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | NEW BRITAIN |
| Practice Address - State: | CT |
| Practice Address - Zip Code: | 06051-3999 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 860-224-6201 |
| Practice Address - Fax: | 860-224-6260 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-08-24 |
| Last Update Date: | 2024-03-27 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| 207KA0200X, 207N00000X, 207RH0003X, 207V00000X, 207W00000X, 207X00000X, 208000000X, 208100000X, 2085R0202X, 2086S0129X, 208800000X, 207R00000X | ||
| CT | 207RG0100X, 207RP1001X, 207RR0500X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
| No | 207KA0200X | Allopathic & Osteopathic Physicians | Allergy & Immunology | Allergy | Group - Multi-Specialty |
| No | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | Group - Multi-Specialty | |
| No | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | Group - Multi-Specialty |
| No | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | Group - Multi-Specialty |
| No | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | Group - Multi-Specialty |
| No | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | Group - Multi-Specialty |
| No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Multi-Specialty | |
| No | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | Group - Multi-Specialty | |
| No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
| No | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Multi-Specialty | |
| No | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
| No | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | Group - Multi-Specialty |
| No | 2086S0129X | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery | Group - Multi-Specialty |
| No | 208800000X | Allopathic & Osteopathic Physicians | Urology | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| CT | 004118106 | Medicaid | |
| CT | 004195930 | Medicaid | |
| CT | 004224846 | Medicaid | |
| CT | 15MRI0155CT01 | Other | BCBS & BCFP MRI ID |
| CT | 004062394 | Medicaid | |
| CT | 004196095 | Medicaid | |
| CT | 004214417 | Medicaid | |
| CT | 004214425 | Medicaid | |
| CT | 004214441 | Medicaid | |
| CT | 004214467 | Medicaid | |
| CT | 004214483 | Medicaid | |
| CT | 004264660 | Medicaid | |
| CT | 004214433 | Medicaid | |
| CT | 004214475 | Medicaid | |
| CT | 004214813 | Medicaid | |
| CT | 004214459 | Medicaid | |
| CT | 004215324 | Medicaid | |
| CT | 004239655 | Medicaid | |
| CT | 004118106 | Medicaid |
