Noel C Nowicki, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA34121 Issued in NJ

Practice address

292 Bloomfield Ave
Montclair, NJ 07042-3624

Phone

(973) 655-1005

Fax

(973) 655-0095

NPI assigned

Jul 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Noel C Nowicki MD PA

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1396832051
  NPD (past) Authorized official
• Restore to Wellness Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Rutherford, NJ
  • NPI 1508340290
  NPD (past)
• Rutherford Allied Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Rutherford, NJ
  • NPI 1457545675
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649295932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 BLOOMFIELD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423624",
            "telephone_number": "973-655-1005",
            "fax_number": "973-655-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 BLOOMFIELD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423624",
            "telephone_number": "973-655-1005",
            "fax_number": "973-655-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWICKI",
        "first_name": "NOEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA34121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Jersey Plastic Surgery PC
• Northeast Psychological Services
• Brian Daniel Norton, M.ED., LPC
• Novacare Partners LLC
• Novo Psychological Services LLC
• Nu Forma Wellness NJ LLC
• Nurturing Hands Home Healthcare
• Nutricultures Nutrition and Diabetes Center LLC (NutriCultures)
• Jenifer Chioma Nwosu, M.D.
• Francis James O'Bosky Jr., DMD

• Internal Medicine Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Internal Medicine Physician in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.