Active NPI
Nova Family Podiatry P.C.
- Podiatrist
- Eagleville, PA
National Provider Identifier
1477567790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC004124L
- Legal business name
- NOVA FAMILY PODIATRY P.C.
- Practice address
- 3125 Ridge Pike
Suite B
Eagleville, PA 19403-1407 - Phone
- (610) 631-3338
- Fax
- (610) 631-0313
- NPI assigned
- Jul 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bernard A. Novabilski, D.P.M.
- Title
- Podiatrist
- Phone
- (610) 631-3338
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC004124L | PA | Primary |
Addresses
Primary practice location
3125 Ridge Pike
Suite B
Eagleville, PA 19403-1407
Mailing address
3125 Ridge Pike
Suite B
Eagleville, PA 19403-1407
Phone (610) 631-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
3125 Ridge Pike
Ste B
Norristown, PA 19403
Phone (610) 409-2786
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot Surgery Podiatrist
- Eagleville, PA
- NPI 1811903958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320278400000",
"number": "1477567790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 RIDGE PIKE",
"address_2": "SUITE B",
"city": "EAGLEVILLE",
"state": "PA",
"postal_code": "194031407",
"telephone_number": "610-631-3338",
"fax_number": "610-631-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 RIDGE PIKE",
"address_2": "SUITE B",
"city": "EAGLEVILLE",
"state": "PA",
"postal_code": "194031407",
"telephone_number": "610-631-3338",
"fax_number": "610-631-0313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA FAMILY PODIATRY P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2011-11-03",
"status": "A",
"authorized_official_last_name": "NOVABILSKI",
"authorized_official_first_name": "BERNARD",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "610-631-3338",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "PA",
"license": "SC004124L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagleville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.