Basic Information
Provider Information | |||||||||
NPI: | 1710957824 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | STARR | ||||||||
FirstName: | CYNTHIA | ||||||||
MiddleName: | D. | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 10 BRASS CASTLE RD | ||||||||
Address2: |   | ||||||||
City: | WASHINGTON | ||||||||
State: | NJ | ||||||||
PostalCode: | 078824327 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9088351910 | ||||||||
FaxNumber: | 9084542661 | ||||||||
Practice Location | |||||||||
Address1: | 755 MEMORIAL PARKWAY SUITE 102 | ||||||||
Address2: | HILLCREST PROFESSIONAL PLAZA | ||||||||
City: | PHILLIPSBURG | ||||||||
State: | NJ | ||||||||
PostalCode: | 088652774 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9084540370 | ||||||||
FaxNumber: | 9084549858 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 01/23/2006 | ||||||||
LastUpdateDate: | 03/18/2013 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | MA02336300 | NJ | Y |   | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
ID | Type | State | Issuer | Description | 222144152 | 01 | NJ | HORIZON BC/BS | OTHER | 222144152 | 01 | NJ | MAGNACARE | OTHER | 9329 | 01 | NJ | AETNA HMO | OTHER | 000807262 | 01 | PA | HIGHMARK | OTHER | 0074875000 | 01 | PA | INDEPENDENCE B/C | OTHER | 222144152 | 01 | PA | DEVON | OTHER | 2K1120 | 01 | NJ | HEALTHNET | OTHER | 900003642-00 | 01 | NJ | AMERICHOICE | OTHER | 222144152 | 01 | PA | INTERGROUP | OTHER | 222144152 | 01 | NJ | QUALCARE | OTHER | 4040806-003 | 01 | NJ | CIGNA | OTHER | P3086917 | 01 | NJ | OXFORD | OTHER | 222144152 | 01 | NJ | HCPC | OTHER | 4507056 | 01 | NJ | AETNA PPO | OTHER | 0074875000 | 01 | NJ | KEYSTONE HEALTH PLAN EAST | OTHER | 02135901 | 01 | PA | CAPITAL BC | OTHER | 054855 | 01 | PA | AMERIHEALTH | OTHER | 1054341 | 01 | NJ | HORIZON NJ | OTHER | 1235109 | 05 | NJ |   | MEDICAID |