Active NPI
Dennis Earl Novak, M.D.
- Family Medicine Physician
- Forked River, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA03039400
- Practice address
- 1001 Lacey Road
Forked River, NJ 08731-0780 - Phone
- (609) 693-8900
- Fax
- (609) 971-2888
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA03039400 | NJ | Primary |
Addresses
Primary practice location
1001 Lacey Road
Forked River, NJ 08731-0780
Mailing address
1001 Lacey Road
Forked River, NJ 08731-0780
Phone (609) 693-8900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D01825500 | Other | NJ | CDS # |
| 0699209 | Medicaid | NJ | |
| 25MA03039400 | Other | NJ | LICENSE # |
Other names 1
- Dr. Dennis Earl Novak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1001 Lacey Rd
Forked River, NJ 08731-1042
Phone (609) 693-8900
Hospital & facility affiliations
- Bayada Home Health Care, Inc
- Visiting Nurse Association of Central Jersey Home Care and Hospice
- Hackensack Meridian at Home Ocean County
- Southern Ocean Medical Center
- Community Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group, PC | Single Specialty | Current | Accepting new patients |
| Rwjbh Primary Care Services | Single Specialty | Current | Accepting new patients |
| Community Medical Center Inc | Past | Accepting new patients |
Locations
1001 Lacey Rd
Forked River, NJ 08731
Phone (609) 693-8900
166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200
223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838
Interoperability endpoints
- dnovak46089@epicdirect.rwjbh.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- West Orange, NJ
- NPI 1265037501
Single Specialty
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Whiting, NJ
- NPI 1609264597
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
-
- Home Health Agency
- Brick, NJ
- NPI 1376638064
-
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
-
- Home Health Agency
- Toms River, NJ
- NPI 1912964818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1194881094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 LACEY ROAD",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087310780",
"telephone_number": "609-693-8900",
"fax_number": "609-971-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 LACEY ROAD",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087310780",
"telephone_number": "609-693-8900",
"fax_number": "609-971-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "DENNIS",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA03039400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS #",
"identifier": "D01825500",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0699209",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "25MA03039400",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DENNIS",
"last_name": "NOVAK",
"middle_name": "EARL",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Forked River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.