Individual provider Active NPI

Stephen A Novick, MD

  • Cardiovascular Disease Physician
  • Yonkers, NY
National Provider Identifier
1528088168
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
092376 Issued in NY
Practice address
984 N Broadway
Yonkers, NY 10701-1318
Phone
(914) 423-7267
Fax
(914) 423-9509
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 092376 NY Primary

Addresses

Primary practice location

984 N Broadway
Yonkers, NY 10701-1318

Mailing address

984 N Broadway
Yonkers, NY 10701-1318
Phone (914) 423-7267

Other identifiers 1

IdentifierTypeStateIssuer
00559513MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080311000395 NY Practitioner - Cardiovascular Disease (Cardiology) 3678658945 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
092376NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine of New York University CurrentSince Aug 1, 2020 Accepting new patients
Mount Sinai School of Medicine of New York University Cardiovascular Disease CurrentSince Aug 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai PastSince Aug 1, 2020 Accepting new patients

Locations

984 N Broadway
Ste Lo
Yonkers, NY 10701
Phone (914) 423-7267

984 N Broadway
Yonkers, NY 10701
Phone (914) 751-5432

1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535

984 N Broadway
Ste 303
Yonkers, NY 10701
Phone (914) 696-0770

984 N Broadway
Ste L08A
Yonkers, NY 10701
Phone (914) 423-7267

984 N Broadway
Ste LO8A
Yonkers, NY 10701
Phone (914) 423-7267

Organizations & group practices 3

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1528088168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011318",
            "telephone_number": "914-423-7267",
            "fax_number": "914-423-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011318",
            "telephone_number": "914-423-7267",
            "fax_number": "914-423-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVICK",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "092376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00559513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.