Active NPI
Howard Novotny, M.D.
- Cardiovascular Disease Physician
- Islandia, NY
National Provider Identifier
1568470300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 163612
- Practice address
- 3001 Expressway Drive North
Islandia, NY 11749 - Phone
- (631) 444-9600
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 163612 | NY | Primary |
Addresses
Primary practice location
3001 Expressway Drive North
Islandia, NY 11749
Mailing address
P.O. Box 1559
Stony Brook, NY 11790
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46F79 | Other | NY | EMPIRE BC.BS |
| 01191657 | Medicaid | NY | |
| 4670584 | Other | NY | AETNA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040211000599 | NY | Practitioner - Cardiovascular Disease (Cardiology) | 7618861576 |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- New York University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 1554
Stony Brook, NY 11790
PO Box
Suite 1554
Stony Brook, NY 11790-0988
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163612 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital at Stony Brook | Past | Accepting new patients |
Interoperability endpoints
- howard.novotny@direct.stonybrookmedicine.edu
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Stony Brook Southampton Hospital
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568470300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1559",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 EXPRESSWAY DRIVE NORTH",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "11749",
"telephone_number": "631-444-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVOTNY",
"first_name": "HOWARD",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "163612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC.BS",
"identifier": "46F79",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01191657",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4670584",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Islandia, NY
- Craig J Niederberger, RPH
- Susan Marie Noll, NP
- North Shore - Lij Pediatrics of Suffolk County, P.C.
- North Shore Lij OB GYN PC
- Northside Primary Medical Care PC
- Nu-Tech Health Care Services, LTD
- Ny Northeast Medical Care PLLC
- Kerry O'Brien- Espinoza, NP
- Megan Kathleen O'Donnell
- Thomas R O'Donnell, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.