Individual provider Active NPI

Gerald Novik, M.D.

  • Legal Medicine
  • Mercerville, NJ
National Provider Identifier
1417934597
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
MA46699 Issued in NJ
Practice address
1235 Whitehorse Mercerville Rd
Ste. 316 BLDG C
Mercerville, NJ 08619-3810
Phone
(609) 581-5586
Fax
(609) 581-5779
NPI assigned
Dec 29, 2005
Last updated
Feb 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X MA46699 NJ Primary

Addresses

Primary practice location

1235 Whitehorse Mercerville Rd
Ste. 316 BLDG C
Mercerville, NJ 08619-3810

Mailing address

5 Peter Rafferty Dr
Trenton, NJ 08690-1817
Phone (609) 586-9141

Other identifiers 11

IdentifierTypeStateIssuer
110207563OtherNJMEDICARE RAILROAD
223709512OtherNJGREAT WEST
2261113OtherNJAETNA HEALTHCARE
4059288OtherNJTRADITIONAL AETNA
105861OtherNJUNITED HEATLHCARE
223709512OtherNJHORIZON
514460OtherNJAMERIHEALTH ADMINISTRATOR
0916468OtherNJCIGNA HEALTHCARE
1K3955OtherNJPHS/HEALTHNET
MEP126OtherNJOXFORD HEALTH PLANS
0110663000OtherNJAMERIHEALTH/KEYSTONE/PERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA46699NJMDLegal Medicine

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1417934597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PETER RAFFERTY DR",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086901817",
            "telephone_number": "609-586-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 WHITEHORSE MERCERVILLE RD",
            "address_2": "STE. 316 BLDG C",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193810",
            "telephone_number": "609-581-5586",
            "fax_number": "609-581-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVIK",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "MA46699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110207563",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "223709512",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "2261113",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRADITIONAL AETNA",
            "identifier": "4059288",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEATLHCARE",
            "identifier": "105861",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "223709512",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINISTRATOR",
            "identifier": "514460",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "0916468",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS/HEALTHNET",
            "identifier": "1K3955",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "MEP126",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE/PERS",
            "identifier": "0110663000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.