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

Jill Stark, DPM

Individual provider Podiatrist · NPI 1336816917

Jill Stark, DPM is a Podiatrist in Boothbay, Maine. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

104 Pension Ridge Rd
Boothbay, ME 04537-4810
Phone: (201) 294-5672
Show map & directions

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

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 006857 (NY)

Record details

NPI number1336816917
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedAugust 23, 2021
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021
Mailing address104 Pension Ridge Rd, Boothbay, ME 04537-4810