Individual provider Active NPI

Amy Melissa Novatt, M.D.

  • Gynecology Physician
  • Millbrook, NY
National Provider Identifier
1053405647
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
199414 Issued in NY
Practice address
3712 US-44
Millbrook, NY 12545
Phone
(845) 516-4684
Fax
(845) 876-2627
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 199414 NY Primary

Addresses

Primary practice location

3712 US-44
Millbrook, NY 12545

Mailing address

6250 Route 9
Rhinebeck, NY 12572-3629
Phone (458) 516-4684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
199414NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Medical Care of Rhinebeck, Inc PastSince Nov 21, 2004 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1053405647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 ROUTE 9",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723629",
            "telephone_number": "458-516-4684",
            "fax_number": "845-876-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 US-44",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "12545",
            "telephone_number": "845-516-4684",
            "fax_number": "845-876-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVATT",
        "first_name": "AMY",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-05-06",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "199414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millbrook, NY

Sources for this page

Verify at the official NPI Registry.