Individual provider Active NPI

Jeffrey S. Novak, M.D.

  • Specialist
  • Wantagh, NY
National Provider Identifier
1700969714
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
191827 Issued in NY
Practice address
3019 Merrick Rd
Wantagh, NY 11793-4329
Phone
(516) 785-8075
Fax
(516) 785-8139
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 191827 NY Primary

Addresses

Primary practice location

3019 Merrick Rd
Wantagh, NY 11793-4329

Mailing address

3019 Merrick Rd
Wantagh, NY 11793-4329
Phone (516) 785-8075

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040220001146 NY Practitioner - Gastroenterology 0648165225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Albert Einstein College of Medicine of Yeshiva University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastrointestinal Specialist of Long Island, P.C.Group PAC ID 1456442052, 2 clinicians

Practice addresses (Care Compare)

3019 Merrick Rd
Wantagh, NY 11793-4329
Phone (516) 785-8075

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy298
Upper gastrointestinal (GI) endoscopy for acid reflux133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
191827NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialist of Long Island, P.C. Specialist CurrentSince Jul 15, 2007 Accepting new patients

Locations

306 Hempstead Ave
Malverne, NY 11565
Phone (516) 678-0076

3019 Merrick Rd
Wantagh, NY 11793
Phone (516) 785-8075

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGHFDD

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700969714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 MERRICK RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117934329",
            "telephone_number": "516-785-8075",
            "fax_number": "516-785-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 MERRICK RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117934329",
            "telephone_number": "516-785-8075",
            "fax_number": "516-785-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "JEFFREY",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "191827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.