Healthcare Provider Details

I. General information

NPI: 1437322427
Provider Name (Legal Business Name): AMY J STARKENBERG NPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 MENDON RD STE 1
CUMBERLAND RI
02864-3833
US

IV. Provider business mailing address

2140 MENDON RD STE 1
CUMBERLAND RI
02864-3833
US

V. Phone/Fax

Practice location:
  • Phone: 401-475-3000
  • Fax: 401-475-0875
Mailing address:
  • Phone: 401-475-3000
  • Fax: 401-475-0875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberNPP37365
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: