Active NPI
Marshall Novis, DPM
- Podiatrist
- Milford, MA
National Provider Identifier
1568518264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2031
- Practice address
- 258 Main St
Suite 212
Milford, MA 01757-2525 - Phone
- (508) 478-6700
- Fax
- (508) 473-4036
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2031 | MA | Primary |
Addresses
Primary practice location
258 Main St
Suite 212
Milford, MA 01757-2525
Mailing address
258 Main St
Suite 212
Milford, MA 01757-2525
Phone (508) 478-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0307238 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223337600000",
"number": "1568518264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 MAIN ST",
"address_2": "SUITE 212",
"city": "MILFORD",
"state": "MA",
"postal_code": "017572525",
"telephone_number": "508-478-6700",
"fax_number": "508-473-4036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 MAIN ST",
"address_2": "SUITE 212",
"city": "MILFORD",
"state": "MA",
"postal_code": "017572525",
"telephone_number": "508-478-6700",
"fax_number": "508-473-4036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVIS",
"first_name": "MARSHALL",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2008-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "2031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0307238",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.