Joel Novack, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36001391N Issued in OH

Practice address

20050 Harvard Road
Suite 205
Warrensville Heights, OH 44122-6805

Phone

(216) 491-9157

Fax

(216) 491-7245

NPI assigned

Jun 29, 2006

Last updated

Mar 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Brian J Novack DPM Inc

  • Foot Surgery Podiatrist
  • Warrensville Heights, OH
  • NPI 1861546954
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1053349894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391660",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441398660",
            "telephone_number": "440-944-6665",
            "fax_number": "440-944-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20050 HARVARD ROAD",
            "address_2": "SUITE 205",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226805",
            "telephone_number": "216-491-9157",
            "fax_number": "216-491-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVACK",
        "first_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36001391N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0525800",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackie Nichols
• Audra Eugenia Nieves, OTR/L
• Shiyla Ann Nix, LPC
• Faryl J. Norris
• Northern Ohio Internal Medicine Associates, Inc.
• Mabala G Nyalugwe, M.D.
• Shaelyn O'Connor, DO
• Brandy Oates
• Larain H Oglesby, STNA
• Ohio CVS Stores LLC (CVS Pharmacy 07371)

• Podiatrist in Warrensville Heights, OH
• Providers in Warrensville Heights, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.