Individual provider Active NPI

Lindsey Nicole Novy, PA-C

  • Physician Assistant
  • Syosset, NY
National Provider Identifier
1386422848
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
575 Underhill Blvd
Syosset, NY 11791-3426
Phone
(516) 921-6780
NPI assigned
Sep 18, 2023
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY Primary

Addresses

Primary practice location

575 Underhill Blvd
Syosset, NY 11791-3426

Mailing address

2 Gull Dr
Hauppauge, NY 11788-1103
Phone (631) 972-3280

Other identifiers 1

IdentifierTypeStateIssuer
030902OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829000854 NY Practitioner - Physician Assistant 0446799811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Michael S. Cohen MD PCGroup PAC ID 4981040441, 4 clinicians
Brain and Spine Surgeons of New York PCGroup PAC ID 7113818139, 24 clinicians

Practice addresses (Care Compare)

106 Crystal Brook Hollow Rd
Suite a
Port Jefferson Station, NY 11776-2030
Phone (631) 509-5250

575 Underhill Blvd
Suite 175
Syosset, NY 11791-3417
Phone (516) 921-6780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
030902NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brain & Spine Surgeons of New York PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

106 Crystal Brook Hollow Rd
#A
Port Jeff Sta, NY 11776
Phone (631) 509-5250

106 Crystal Brook Hollow Rd
Ste A
Port Jefferson Station, NY 11776
Phone (631) 509-5250

575 Underhill Blvd
Ste 175
Syosset, NY 11791
Phone (516) 704-7004

4 Westchester Park Dr
Fl 4
White Plains, NY 10604
Phone (914) 948-3008

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1386422848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GULL DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117881103",
            "telephone_number": "631-972-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 UNDERHILL BLVD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913426",
            "telephone_number": "516-921-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVY",
        "first_name": "LINDSEY",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "030902",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.