Nelson Lee Novick, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

1279411 Issued in NY

Practice address

328 E 75TH St
New York, NY 10021-3317

Phone

(212) 772-9300

Fax

(212) 772-0524

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

DermatologyAlso: Internal Medicine

Education

Other, 1975

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

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

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649383142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 E 75TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213317",
            "telephone_number": "212-772-9300",
            "fax_number": "212-772-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 E 75TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213317",
            "telephone_number": "212-772-9300",
            "fax_number": "212-772-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVICK",
        "first_name": "NELSON",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "1279411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00428991",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paulette Rita Novembre-Novotny, R.D.
• Cassandre Antoinette Novembre, MSED
• Danielle Novetsky Friedman, MD
• Jeremy Novich, PSY.D.
• Jenna Rose Novick, CF-SLP
• Sue Ellen Novick, MHC
• Yelena Novik, MD
• Zorina Novik, RPH
• Daniele P. Novikoff, MA, SLP
• Yuri W Novitsky, MD

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• 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.

Verify at the official NPI Registry.