Individual provider Active NPI

John N Noveck, PA

  • Physician Assistant
  • Patchogue, NY
National Provider Identifier
1437186582
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
005128 Issued in NY
Practice address
101 Hospital Road
Medical Center
Patchogue, NY 11772
Phone
(631) 687-2953
Fax
(610) 617-6280
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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 005128 NY Primary

Addresses

Primary practice location

101 Hospital Road
Medical Center
Patchogue, NY 11772

Mailing address

PO Box 13700 1378
Brookhaven Memorial Hospital ER
Philadelphia, PA 19191-1378
Phone (800) 666-2455

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
I20040211000942 NY Practitioner - Physician Assistant 5698669513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

377 S Oyster Bay Rd
Plainview, NY 11803-3323
Phone (516) 537-9061

603 E Main St
B
Bay Shore, NY 11706-8505
Phone (631) 238-3064

71 Forest Ave
Glen Cove, NY 11542-2112
Phone (347) 493-2941

801 Broadway
Suite 100
Amityville, NY 11701-2206
Phone (516) 784-4486

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005128NYMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Suffolk County, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: john.noveck@ghuc.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1437186582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13700 1378",
            "address_2": "BROOKHAVEN MEMORIAL HOSPITAL ER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191911378",
            "telephone_number": "800-666-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL ROAD",
            "address_2": "MEDICAL CENTER",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-687-2953",
            "fax_number": "610-617-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVECK",
        "first_name": "JOHN",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.