Jennifer Ann Novack

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

013197-1 Issued in NY

Practice address

98 Cherry Valley Ave
Garden City, NY 11530-1555

Phone

(516) 478-3000

NPI assigned

Oct 18, 2016

Last updated

Oct 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1225589922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 CAMBRIDGE AVE",
            "city": "STEWART MANOR",
            "state": "NY",
            "postal_code": "115305045",
            "telephone_number": "917-232-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CHERRY VALLEY AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301555",
            "telephone_number": "516-478-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVACK",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013197-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Center for Speech, Language & Swallowing Disorders LLP
• North Shore Lij OB GYN at Garden City PC (North Shore LIJ Medical Group all about Women)
• North Shore Podiatry Associates, PLLC
• Northern Breast & Womens Imaging
• Lola D. Nouryan, PH.D. PSYCHOLOGIST
• Nicholas Anthony Novak, PA-C
• Nrad Medical Associates, PC
• NS Arora Dermatology PLLC (Borealis Dermatology)
• Ny Best Perinatal
• Ny Cosmetic Skin and Laser Surgery Center

• Speech-Language Pathologist in Garden City, NY
• Providers in Garden City, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.