Gregg J. Novak, D.O.
Individual provider Active NPI Family Medicine Physician · Dunmore, PA
NPI 1497956411 · NPPES record last updated Apr 16, 2026
Key facts
- NPI
- 1497956411
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS014025 (PA)
- Practice address
- 1141 Clay Ave Ste 1
Dunmore, PA 18510-1191 - Phone
- (570) 330-5060
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 34
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lehigh Valley Physician Group
Rural Health Corporation of Northeastern Pennsylvania
Practice addresses (Care Compare)
1141 Clay Ave
Dunmore, PA 18510-1191
Phone (570) 207-7919
1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888
26 N Main St
Shickshinny, PA 18655-1302
Phone (570) 704-4230
2795 Sullivans TRL
Falls, PA 18615-7949
Phone (570) 704-4117
2888 Sr 29
Monroe Township, PA 18636-7854
Phone (570) 298-2121
Hospital & facility affiliations
- Homebound Health Services Inc
- Geisinger Wyoming Valley Medical Center
- Wilkes-Barre General Hospital
- Geisinger-Community Medical Center
- Lehigh Valley Hospital - Hazleton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070615000025 | PA | Practitioner - Internal Medicine |
0244339232 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS014025 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Corporation of Northeastern Pennsylvania | Current | Accepting new patients | |
| Rural Health Corporation of Northeastern Pennsylvania | Family Medicine | Current |
Accepting new patients |
| Singing River Health System | Past | Accepting new patients | |
| Rural Health Corporation of Northeastern Pennsylvania | Family Medicine | Past | Accepting new patients |
Locations
2888 Sr 29 S
#1
Monroe Township, PA 18636
Phone (570) 298-2121
26 N Main St
Shickshinny, PA 18655
Phone (570) 542-4141
276 E End Ctr
Wilkes Barre, PA 18702
Phone (570) 825-8741
Interoperability endpoints
- greggnovakdo@rhc.medentdirect.com
- gnovak@nepachc.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS014025 | PA | |
| Family Medicine Physician | 207Q00000X | OS014025 | PA | Yes |
| Pediatrics Physician | 208000000X | OS014025 | PA |
Addresses
Primary practice location
1141 Clay Ave Ste 1
Dunmore, PA 18510-1191
Mailing address
2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Other practice location 1
5 S Washington Ave
Jermyn, PA 18433
Phone (570) 851-8075
Other practice location 2
2888 Sr 29 S
Monroe Township, PA 18636-7854
Phone (570) 298-2121
NPI Registry JSON
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1497956411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MACK BLVD FL 4",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 CLAY AVE STE 1",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185101191",
"telephone_number": "570-330-5060"
}
],
"practiceLocations": [
{
"address_1": "5 S Washington Ave",
"address_purpose": "LOCATION",
"city": "Jermyn",
"state": "PA",
"postal_code": "18433",
"country_code": "US",
"telephone_number": "570-851-8075",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2888 SR 29 S",
"address_purpose": "LOCATION",
"city": "Monroe Township",
"state": "PA",
"postal_code": "186367854",
"country_code": "US",
"telephone_number": "570-298-2121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOVAK",
"first_name": "GREGG",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS014025",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS014025",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS014025",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.