Individual provider Active NPI

Laura J. Novak, M.D., PH.D.

  • Psychiatry Physician
  • Voorhees, NJ
National Provider Identifier
1164666012
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA09934600 Issued in NJ
Practice address
1 Sheppard Rd
Suite 703
Voorhees, NJ 08043-4608
Phone
(856) 470-7499
Fax
(856) 229-9941
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA09934600 NJ Primary
Psychiatry Physician 2084P0800X MD446537 PA

Addresses

Primary practice location

1 Sheppard Rd
Suite 703
Voorhees, NJ 08043-4608

Mailing address

1 Sheppard Rd
Suite 703
Voorhees, NJ 08043-4608
Phone (856) 470-7499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
25MA09934600NJMDPsychiatry Physician
MD446537PAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1164666012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHEPPARD RD",
            "address_2": "SUITE 703",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434608",
            "telephone_number": "856-470-7499",
            "fax_number": "856-229-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHEPPARD RD",
            "address_2": "SUITE 703",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434608",
            "telephone_number": "856-470-7499",
            "fax_number": "856-229-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "LAURA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09934600",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD446537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.