NPIMap

Organization Active NPI

Novus Adult Care Services Inc.

  • Adult Health Nurse Practitioner
  • Bethlehem, PA
National Provider Identifier
1679931349
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP010690 Issued in PA
Legal business name
NOVUS ADULT CARE SERVICES INC.
Practice address
1565 Linden St
Bethlehem, PA 18017-4744
Phone
(610) 867-5365
Fax
(610) 867-5366
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Mr. Allen Charles Smith III, CRNPNPI 1619254463
Title
Owner
Phone
(610) 867-5365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X SP010690 PA Primary

Addresses

Primary practice location

1565 Linden St
Bethlehem, PA 18017-4744

Mailing address

1565 Linden St
Bethlehem, PA 18017-4744
Phone (610) 867-5365

Other identifiers 1

IdentifierTypeStateIssuer
103060981MedicaidPA

Other names 2

  • Novus Adult Care Services LLC Former legal business name
  • NovusACS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160211001415 PA Part B Supplier - Clinic/Group Practice 2961706924 Receives reassigned benefits from 12 practitioners
Practice locations: Bethlehem, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2086349Novus Adult Care Services1565 Linden Street, Bethlehem, PA 18017AccreditationMay 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Novus Adult Care Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

512 DeKalb St
Bridgeport, PA 19405
Phone (610) 787-8000

11 Duane Rd
Ste A
Doylestown, PA 18901

243 S 3rd St
Lehighton, PA 18235
Phone (610) 379-4006

40 N Noble St
Reading, PA 19611
Phone (215) 272-7467

28 N 7th St
Stroudsburg, PA 18360
Phone (570) 424-8306

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1679931349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 LINDEN ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174744",
            "telephone_number": "610-867-5365",
            "fax_number": "610-867-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 LINDEN ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174744",
            "telephone_number": "610-867-5365",
            "fax_number": "610-867-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUS ADULT CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-867-5365",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP010690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103060981",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novus Adult Care Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "NovusACS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NovusACS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.