Individual provider Active NPI

Mark Douglas Novick, M.D.

  • Diagnostic Radiology Physician
  • Nyc, NY
National Provider Identifier
1225089428
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME97607 Issued in FL
Practice address
61 E 77TH St
Nyc, NY 10075-1902
Phone
(212) 772-3111
NPI assigned
May 12, 2006
Last updated
May 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 166374-1 NY
Diagnostic Radiology Physician 2085R0202X ME97607 FL Primary

Addresses

Primary practice location

61 E 77TH St
Nyc, NY 10075-1902

Mailing address

61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111

Other practice location 1

10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 766-1300

Other practice location 2

9408 SW 87th Ave Ste 200
Miami, FL 33176-2416
Phone (305) 468-4190 ext. 5003

Other identifiers 3

IdentifierTypeStateIssuer
002800400MedicaidFL
01015021MedicaidNY
109355800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20060725000361 NY Practitioner - Diagnostic Radiology 9830102540 Reassigns benefits to 2 organizations
I20080408000354 FL Practitioner - Diagnostic Radiology 9830102540 Reassigns benefits to 8 organizations
I20241118003969 MO Practitioner - Diagnostic Radiology 9830102540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Radiology Partners of Florida LLCGroup PAC ID 8224554027, 17 clinicians
All-American Teleradiology LLCGroup PAC ID 3678707338, 16 clinicians

Practice addresses (Care Compare)

10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone 5617661300601

3955 Indian River Blvd
Vero Beach, FL 32960-4814
Phone (888) 365-5514

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
166374-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Imaging, LLC Current Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Aug 15, 2024 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Aug 15, 2024 Accepting new patients
Independent Imaging LLC CurrentSince Jun 1, 2019 Accepting new patients
Universal Radiology Partners of Florida LLC Diagnostic Radiology CurrentSince Mar 17, 2025 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Dec 1, 2019 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Dec 1, 2019 Accepting new patients
All-American Teleradiology LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Independent Imaging, LLC CurrentSince Jun 1, 2019 Accepting new patients
Orthopedic Surgeons, P.a. CurrentSince Oct 1, 2024 Accepting new patients
Network Imaging Associates, LLC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Canal Radiology Associates, P.C. Diagnostic Radiology CurrentSince Feb 25, 2014 Accepting new patients
Orthopedic Surgeons, P.a. CurrentSince Oct 1, 2024 Accepting new patients
North Shore Health System Medical Faculty Group Practice Inc Past Accepting new patients
Stony Brook Radiologic Services PC Diagnostic Radiology Past Accepting new patients
Doshi Diagnostic Imaging Services PC Diagnostic Radiology Past Accepting new patients
Community Radiology Past Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222

39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477

1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400

5051 S Congress Ave
Lake Worth Beach, FL 33461
Phone (561) 345-7575

3347 S State Road 7
Ste 100
Wellington, FL 33449
Phone (561) 795-5558

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501

2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054

8250 N Church Rd
Kansas City, MO 64158
Phone (816) 459-7500

2790 Clay Edwards Dr
Ste 650
North Kansas City, MO 64116
Phone (816) 459-7500

500 Mamaroneck Ave
Harrison, NY 10528
Phone (203) 869-1145

212 Canal St
Rm 206
New York, NY 10013
Phone (212) 349-5799

1910 South Rd
Poughkeepsie, NY 12601
Phone (845) 454-0120

27005 Knickerbocker Rd
Bay Village, OH 44140
Phone (800) 365-5514

Interoperability endpoints

  • Direct secure messaging: mnovick@invisionhealthbrainandspine.medentdirect.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 2

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1225089428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751817",
            "telephone_number": "212-772-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E 77TH ST",
            "city": "NYC",
            "state": "NY",
            "postal_code": "100751902",
            "telephone_number": "212-772-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Forest Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146103",
            "country_code": "US",
            "telephone_number": "561-766-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9408 SW 87th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762416",
            "country_code": "US",
            "telephone_number": "305-468-4190 x5003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVICK",
        "first_name": "MARK",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "166374-1",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME97607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002800400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01015021",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109355800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyc, NY

Sources for this page

Verify at the official NPI Registry.