Lyle D Stark, PA-C - Medicare Physician Assistant in Paterson, NJ

Lyle D Stark, PA-C is a medicare enrolled "Physician Assistant" in Paterson, New Jersey. He graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Premier Brain And Spine Llc and his current practice location is 922 Main St Ste 201, Paterson, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 906-9600.

Lyle D Stark is licensed to practice in New Jersey (license number 25MP00094700) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306946819.

Contact Information

Lyle D Stark, PA-C
922 Main St Ste 201,
Paterson, NJ 07503-2602
(732) 906-9600
(732) 377-0393



Provider's Profile

Full NameLyle D Stark
GenderMale
SpecialityPhysician Assistant
Experience25 Years
Location922 Main St Ste 201, Paterson, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lyle D Stark graduated from nursing school in 1999
  NPI Data:
  • NPI Number: 1306946819
  • Provider Enumeration Date: 09/24/2006
  • Last Update Date: 08/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9234138470
  • Enrollment ID: I20061215000293

Medical Identifiers

Medical identifiers for Lyle D Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306946819NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 25MP00094700 (New Jersey)Secondary
363A00000XPhysician Assistant 25MP00094700 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Brain And Spine Llc660826483365

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lyle D Stark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lyle D Stark, PA-C
2500 Morris Ave Ste 200,
Union, NJ 07083-5675

Ph: (732) 906-9600
Lyle D Stark, PA-C
922 Main St Ste 201,
Paterson, NJ 07503-2602

Ph: (732) 906-9600

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Physician Assistant Nurses in Paterson, NJ

Seth B Zebrak, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 703 Main St, Paterson, NJ 07503
Phone: 973-754-2486    Fax: 973-754-2482
Towhid Ahmed, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 703 Main St, Paterson, NJ 07503
Phone: 973-754-2000    
Esther Faye Feinstein,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 660 Broadway, Paterson, NJ 07514
Phone: 973-279-1232    
Ronald J Ferrer, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 703 Main St, St. Joseph's Regional Medical Center, Paterson, NJ 07503
Phone: 973-754-2052    
Ana Urriola, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 680 Broadway, Paterson, NJ 07514
Phone: 973-278-8818    
Mrs. Dayana Alexandra Cannan, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 703 Main St, Paterson, NJ 07503
Phone: 862-207-7510    Fax: 862-257-1688

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