Robert Novak

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

313964 Issued in NY

Practice address

600 Roe Ave
Elmira, NY 14905-1629

Phone

(607) 737-4100

NPI assigned

Apr 18, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: robert.novak.p1@direct.rwgcrhc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Casa-Trinity, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Geneseo, NY
  • NPI 1023054376
  NPD (past)
• Casa-Trinity, Inc.

  • Case Management Agency
  • Geneseo, NY
  • NPI 1184281388
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1023638152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 W 2ND ST APT B",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052261",
            "telephone_number": "816-668-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROE AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051629",
            "telephone_number": "607-737-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Maple St",
            "address_purpose": "LOCATION",
            "city": "Dansville",
            "state": "NY",
            "postal_code": "144379182",
            "country_code": "US",
            "telephone_number": "585-335-5052",
            "fax_number": "585-335-5061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-18",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "313964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07501962",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor North, DO
• Amanda M Northrop, MS, OTR/L
• Jill Northrop
• Susan N Northrup
• Michelle Norton
• Heather Ann Novotny, PA-C
• John J Novotny, MD
• Bedelia Colleen Nowak, R.D.
• Valerie Ann Nucera, BSN
• Luciano Adolfo Nunez Bragayrac, M.D.

• General Practice Physician in Elmira, NY
• Providers in Elmira, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.