Ashley Novak, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

23 016748 Issued in NY

Practice address

1 Lawrence St Ste 2
Glens Falls, NY 12801-3618

Phone

(518) 798-9985

Fax

(518) 761-7043

NPI assigned

Jul 23, 2013

Last updated

Dec 31, 2020By 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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashleygilmanpa@gfpeds.medentdirect.com

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.

• Glens Falls Pediatric Consultants, PC

  • Pediatrics Physician
  • Glens Falls, NY
  • NPI 1598720369
  NPD

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1336581073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LAWRENCE ST STE 2",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013618",
            "telephone_number": "518-798-9985",
            "fax_number": "518-761-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAWRENCE ST STE 2",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013618",
            "telephone_number": "518-798-9985",
            "fax_number": "518-761-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "23 016748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James North, MD
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• Vanessa Marie Nyblom
• Morgan K O'Donnell
• Kathryn O'Keeffe, M.D.
• Christine L Obrien
• James Okeeffe, M.D.

• Physician Assistant in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.