Individual provider · Type 1 NPI

Lyle D. Stark, PA-C

Physician Assistant · Paramus, NJ

NPI number 1306946819 Active

Practice location

1 Valley Health Plz
Paramus, NJ 07652-3628

Fax (201) 634-5454

Mailing address

8 Mills Rd
Montebello, NY 10901-3747

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X25MP00094700 (NJ)
Surgical Physician Assistant 363AS0400X25MP00094700 (NJ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1306946819

Lyle D. Stark, PA-C's National Provider Identifier is 1306946819, issued on Sep 24, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Paramus, NJ. The record was last updated on Mar 31, 2025.