Stefan Novac, M.D

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME113453 Issued in FL

Practice address

601 N Flamingo Rd Ste 406
Pembroke Pines, FL 33028-1012

Phone

(754) 201-3700

Fax

(754) 201-3711

NPI assigned

Oct 10, 2007

Reactivated

Dec 11, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032
  Medicare reassignment NPD
• MMC OB/GYN Hospital

  • Specialist
  • Brooklyn, NY
  • NPI 1679570766
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1366630709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD STE 406",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281012",
            "telephone_number": "754-201-3700",
            "fax_number": "754-201-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD STE 406",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281012",
            "telephone_number": "754-201-3700",
            "fax_number": "754-201-3711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 N Commerce Pkwy Ste 113",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263255",
            "country_code": "US",
            "telephone_number": "754-201-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAC",
        "first_name": "STEFAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2019-09-04",
        "deactivation_date": "2018-12-01",
        "reactivation_date": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME113453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102671800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Centers, Inc.
• Roxanne Notte
• Nourishing Women Corp
• Nouvelle Vie Therapy, Corp.
• Nova ABA Solutions LLC
• Aidileny Novales Castro
• Leonardo Novas, ARNP/FNP
• Marc H Novell, D.P.M.
• Novelty Care Solutions
• Greyt Novo Garcia

• Obstetrics & Gynecology Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.