Individual provider Active NPI

Leon Michael Novak, MD

  • Diagnostic Radiology Physician
  • Cherry Hill, NJ
National Provider Identifier
1710190343
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA09828100 Issued in NJ
Practice address
2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone
(856) 488-6500
Fax
(856) 488-6507
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 243323 NY
Diagnostic Radiology Physician 2085R0202X 243323 NY
Diagnostic Radiology Physician 2085R0202X MD434130 PA
Diagnostic Radiology Physician 2085R0202X C1-0009111 DE
Diagnostic Radiology Physician 2085R0202X 25MA09828100 NJ Primary

Addresses

Primary practice location

2201 Chapel Ave W
Cherry Hill, NJ 08002-2048

Mailing address

2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone (856) 488-6500

Other practice location 1

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (856) 582-2500

Other practice location 2

700 Walnut St
Philadelphia, PA 19106-3505
Phone (215) 503-7300

Other practice location 3

2607 Rhawn St
Philadelphia, PA 19152-3038
Phone (215) 333-0304

Other practice location 4

2021 Chestnut St
Philadelphia, PA 19103-3373
Phone (267) 443-2020

Other practice location 5

2301 S Broad St Fl 2
Philadelphia, PA 19148-3542
Phone (215) 952-9148

Other practice location 6

111 S 11th St # 3390
Philadelphia, PA 19107-4824
Phone (215) 955-2900

Other practice location 7

18 E Laurel Rd
Stratford, NJ 08084-1327
Phone (856) 346-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, NJ, MD4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20070906000052 NY Practitioner - Diagnostic Radiology 4587757687 Reassigns benefits to 1 organization
I20080530000100 PA Practitioner - Diagnostic Radiology 4587757687 Reassigns benefits to 4 organizations
I20160330002476 NJ Practitioner - Diagnostic Radiology 4587757687
I20190618002386 MD Practitioner - Diagnostic Radiology 4587757687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Borg and Ide Imaging PCGroup PAC ID 9931012960, 14 clinicians

Practice addresses (Care Compare)

1233 Woodsview Dr
Garnet Valley, PA 19060-2114
Phone (585) 241-6600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243323NYMDDiagnostic Neuroimaging (Radiology) Physician
C1-0009111DEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Borg & Ide Imaging, PC Diagnostic Radiology CurrentSince Jul 15, 2025 Accepting new patients
Union Hospital of Cecil County Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Precision Diagnostic Radiology LLC Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Jefferson University Physicians Diagnostic Radiology CurrentSince May 29, 2018 Accepting new patients
Union Hospital of Cecil County CurrentSince May 20, 2019 Accepting new patients
Union Hospital of Cecil County Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Open MRI & Imaging Center of Elkton,LLC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Timothy D. Groth MD PC CurrentSince Dec 1, 2025 Accepting new patients
Jefferson Radiology, PC Diagnostic Radiology CurrentSince Jan 23, 2025 Accepting new patients
Albany Medical Center South Clinical Campus Diagnostic Radiology Past Accepting new patients
X-Ray Associates P.a. Past Accepting new patients
Albany Medical Center Hospital Past Accepting new patients
X-Ray Associates, LLC Past Accepting new patients

Locations

27037 Network Pl
Chicago, IL 60673

301 Augustine Herman Hwy
Ste A
Elkton, MD 21921
Phone (410) 620-1900

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

18 E Laurel Rd
Stratford, NJ 08084
Phone (856) 346-6000

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012
Phone (856) 513-4124

443 Laurel Oak Rd
Ste 130
Voorhees, NJ 08043
Phone (856) 741-0122

184 Old Country Rd
Mineola, NY 11501
Phone (516) 294-4457

994 W Jericho Tpke
Ste 104
Smithtown, NY 11787
Phone (516) 400-3595

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

701 E Cathedral Rd
Ste 11
Philadelphia, PA 19128
Phone (267) 766-6321

2301 S Broad St
Fl 2
Philadelphia, PA 19148
Phone (215) 952-9148

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

111 S 11th St
Ste 3390
Philadelphia, PA 19107
Phone (215) 955-2900

111 S 11th St
#3390
Philadelphia, PA 19107
Phone (215) 955-2900

700 Walnut St
Philadelphia, PA 19106
Phone (215) 503-7300

111 S 11th St
Fl 3
William Penn Annex West, PA 19107
Phone (215) 955-4804

Networks

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

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1710190343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CHAPEL AVE W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022048",
            "telephone_number": "856-488-6500",
            "fax_number": "856-488-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CHAPEL AVE W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022048",
            "telephone_number": "856-488-6500",
            "fax_number": "856-488-6507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 Hurffville Cross Keys Rd",
            "address_purpose": "LOCATION",
            "city": "Turnersville",
            "state": "NJ",
            "postal_code": "080122453",
            "country_code": "US",
            "telephone_number": "856-582-2500",
            "fax_number": "856-218-2096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191063505",
            "country_code": "US",
            "telephone_number": "215-503-7300",
            "fax_number": "215-503-5666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2607 Rhawn St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191523038",
            "country_code": "US",
            "telephone_number": "215-333-0304",
            "fax_number": "215-333-1402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2021 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191033373",
            "country_code": "US",
            "telephone_number": "267-443-2020",
            "fax_number": "215-640-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 S Broad St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191483542",
            "country_code": "US",
            "telephone_number": "215-952-9148",
            "fax_number": "215-952-9965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S 11th St # 3390",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074824",
            "country_code": "US",
            "telephone_number": "215-955-2900",
            "fax_number": "215-923-1562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 E Laurel Rd",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841327",
            "country_code": "US",
            "telephone_number": "856-346-6000",
            "fax_number": "856-346-6010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "LEON",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "NY",
            "license": "243323",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "243323",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD434130",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0009111",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA09828100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.