Individual provider Active NPI

Dennis Earl Novak, M.D.

  • Family Medicine Physician
  • Forked River, NJ
National Provider Identifier
1194881094
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA03039400 Issued in NJ
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
D01825500OtherNJCDS #
0699209MedicaidNJ
25MA03039400OtherNJLICENSE #

Other names 1

  • Dr. Dennis Earl Novak Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081029000457 NJ Practitioner - Family Practice 9032277405 Reassigns benefits to 2 organizations

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
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

1001 Lacey Rd
Forked River, NJ 08731-1042
Phone (609) 693-8900

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Whiting, NJ, CCN 317031
  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Hackensack Meridian at Home Ocean County Home health agency, Brick, NJ, CCN 317075
  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC Single Specialty CurrentSince Oct 26, 2019 Accepting new patients
Rwjbh Primary Care Services Single Specialty CurrentSince Oct 2, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.