Active NPI
Thomas Joseph Novak, DO
- Family Medicine Physician
- Bethlehem, PA
National Provider Identifier
1750487807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DS010876L
- Practice address
- 36 University Drive
Bethlehem, PA 18015 - Phone
- (610) 758-3870
- Fax
- (610) 758-5833
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DS010876L | PA | Primary |
Addresses
Primary practice location
36 University Drive
Bethlehem, PA 18015
Mailing address
36 University Drive
Bethlehem, PA 18015
Phone (610) 758-3870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS010876L | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750487807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 UNIVERSITY DRIVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18015",
"telephone_number": "610-758-3870",
"fax_number": "610-758-5833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 UNIVERSITY DRIVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18015",
"telephone_number": "610-758-3870",
"fax_number": "610-758-5833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "DS010876L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 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.