Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Clifford Stark, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1174564330

Dr. Clifford Stark, DO is a Sports Medicine in New York, New York. Qualified in 1996, 30 years ago. Practices with Optum Medical Care PC, a 1,018-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
30
Licensed in
NY
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

30 W 24th St Fl 2
New York, NY 10010-3560
Phone: (212) 366-5100
Fax: (212) 366-6275
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 224735 (NY)

Record details

NPI number1174564330
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Optum Medical Care Pc — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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