=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396681326
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STARCARE MEDICAL PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/23/2026
-----------------------------------------------------
Last Update Date | 04/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9425 HARDING AVE
-----------------------------------------------------
City | SURFSIDE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33154-2803
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-734-6621
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 21 ALAN RD
-----------------------------------------------------
City | SPRING VALLEY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10977-6047
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JEROME GOLDSTEIN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 756-236-4952
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------