Active NPI
Gerald Novik, M.D.
- Legal Medicine
- Mercerville, NJ
National Provider Identifier
1417934597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- MA46699
- 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, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110207563 | Other | NJ | MEDICARE RAILROAD |
| 223709512 | Other | NJ | GREAT WEST |
| 2261113 | Other | NJ | AETNA HEALTHCARE |
| 4059288 | Other | NJ | TRADITIONAL AETNA |
| 105861 | Other | NJ | UNITED HEATLHCARE |
| 223709512 | Other | NJ | HORIZON |
| 514460 | Other | NJ | AMERIHEALTH ADMINISTRATOR |
| 0916468 | Other | NJ | CIGNA HEALTHCARE |
| 1K3955 | Other | NJ | PHS/HEALTHNET |
| MEP126 | Other | NJ | OXFORD HEALTH PLANS |
| 0110663000 | Other | NJ | AMERIHEALTH/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
| License | State | Type | Specialty |
|---|---|---|---|
| MA46699 | NJ | MD | Legal 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
- Mercerville Pharmacy LLC (Mercerville Family Pharmacy)
- New Jersey Surgery Center LLC (New Jersey Surgery Center)
- NJ DHS Division of Aging Services
- Northland Hearing Center, Inc. (Audibel Hearing Center)
- Nottingham Animal Hospital
- Omscnj Surgery Center, LLC
- Oral & Maxillofacial Surgery of Central NJ
- Kalpana Palit, M.D
- Anamika Patel, MD
- Bimal J Patel, PHARMD
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.