NPIMap

Individual provider Active NPI

Sofia Novak, M.D.

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1629309885
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
254810 Issued in NY
Practice address
2211 Emmons Ave
Brooklyn, NY 11235-2727
Phone
(718) 368-2960
Fax
(718) 307-7368
NPI assigned
Jan 27, 2010
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 254810 NY Primary

Addresses

Primary practice location

2211 Emmons Ave
Brooklyn, NY 11235-2727

Mailing address

2211 Emmons Ave
Brooklyn, NY 11235-2727
Phone (718) 368-2960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101223000157 NY Practitioner - Internal MedicinePractitioner - Gastroenterology 9830387406 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians

Practice addresses (Care Compare)

1 Brookdale PLZ
Brooklyn, NY 11212-3198

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

187 Veterans Blvd
Massapequa, NY 11758-4982
Phone (516) 795-5523

209 Ave P
Suite 1a
Brooklyn, NY 11204-4982
Phone (718) 676-4500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy55
Upper gastrointestinal (GI) endoscopy for acid reflux65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Gastrointestinal Care of Long Island PLLC Gastroenterology CurrentSince Jan 12, 2024 Accepting new patients
Interfaith Professional Physician Services, P.C. Internal Medicine CurrentSince Jul 13, 2024 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Jul 12, 2024 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jul 12, 2024 Accepting new patients
Brooklyn Gastroenterology and Endoscopy PLLC Gastroenterology CurrentSince Aug 1, 2014 Accepting new patients

Locations

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sofia.novak.1@24721.direct.athenahealth.com
  • Direct secure messaging: sofianovak@mai.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Brookdale Hospital Medical CenterBrooklyn, NY, CCN 330233 Hospital Corporate Director Aug 23, 2018
Brookdale Hospital Medical Center Psych UnitBrooklyn, NY, CCN 33S233 Hospital Corporate Director Aug 23, 2018
The Brookdale Hospital Medical CenterBrooklyn, NY, CCN 33T233 Hospital Corporate Director Jan 1, 2021

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1629309885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 EMMONS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352727",
            "telephone_number": "718-368-2960",
            "fax_number": "718-307-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 EMMONS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352727",
            "telephone_number": "718-368-2960",
            "fax_number": "718-307-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "SOFIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "254810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.