Gary J Novetsky, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Practice address

9600 Gross Point Rd
Suite a
Skokie, IL 60076-1214

Phone

(847) 933-6111

Fax

(847) 933-6113

NPI assigned

Aug 26, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Endeavor Health Medical Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD (past)
• Endeavor Health Medical Group

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882
  NPD (past)
• North Shore MRI Centre

  • Diagnostic Radiology Physician
  • Skokie, IL
  • NPI 1508859349
  NPD (past)
• Skokie Valley CT Centre

  • Diagnostic Radiology Physician
  • Skokie, IL
  • NPI 1124011887
  NPD (past)
• Skokie Valley Radiologist

  • Radiology Clinic/Center
  • Skokie, IL
  • NPI 1205838828
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1700879566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 GROSS POINT RD",
            "address_2": "SUITE A",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761214",
            "telephone_number": "847-933-6111",
            "fax_number": "847-933-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 GROSS POINT RD",
            "address_2": "SUITE A",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761214",
            "telephone_number": "847-933-6111",
            "fax_number": "847-933-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVETSKY",
        "first_name": "GARY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald M. Noskin, D.D.S.
• Stanton C. Noskin, D.D.S.
• Nourish Psychotherapy LLC
• Nova Pharmacy LP
• Carly Novak, PSY.D.
• Jennifer Anne Novy, CPG
• Kimberly Ann Nowak, LCSW
• Nurture Care Home Health Inc.
• Sarah R Nussbaum, PNP-CP
• Victor E Nutenko, MD

• Diagnostic Radiology Physician in Skokie, IL
• Providers in Skokie, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.