Organization Active NPI

Etta Novick MD & Isaac M Novick MD PC

  • Dermatology Physician
  • Brooklyn, NY
National Provider Identifier
1447469705
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ETTA NOVICK MD & ISAAC M NOVICK MD PC
Practice address
1821 Avenue J
Brooklyn, NY 11230-3808
Phone
(718) 338-3030
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Philipp Pifko
Title
Billing Manager
Phone
(718) 934-9720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1821 Avenue J
Brooklyn, NY 11230-3808

Mailing address

PO Box 332
Amts Billing
Woodmere, NY 11598-0332

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1447469705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "address_2": "AMTS BILLING",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115980332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 AVENUE J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303808",
            "telephone_number": "718-338-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETTA NOVICK MD & ISAAC M NOVICK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "PIFKO",
        "authorized_official_first_name": "PHILIPP",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-934-9720"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.