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

Jeffrey Eric Stark, RPA-C

Individual provider Physician Assistant · NPI 1912239468

Jeffrey Eric Stark, RPA-C is a Physician Assistant in Cambridge, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

35 Gilbert Street Cambridge Medical Ctr
Cambridge, NY 12816-2618
Phone: (518) 677-3961
Fax: (518) 677-3180
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13320-1 (NY)

Record details

NPI number1912239468
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedFebruary 9, 2010
Last updated in NPPESAugust 30, 2021
Certification dateAugust 30, 2021

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