Active NPI
Brian E Novick Physician PC
- Allergy Physician
- Forest Hills, NY
National Provider Identifier
1780892232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 140070
- Legal business name
- BRIAN E NOVICK PHYSICIAN PC
- Doing business as
- Allergy Testing Center
- Practice address
- 11821 Queens Blvd Ste 601
Forest Hills, NY 11375-7206 - Phone
- (516) 426-8604
- Fax
- (718) 261-2285
- NPI assigned
- May 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian E Novick, M.D.
- Title
- Owner
- Phone
- (516) 426-8604
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 140070 | NY | Primary |
Addresses
Primary practice location
11821 Queens Blvd Ste 601
Forest Hills, NY 11375-7206
Mailing address
11821 Queens Blvd Ste 601
Forest Hills, NY 11375-7206
Phone (516) 426-8604
Other names 1
- Allergy Testing Center
National Provider Directory
National Provider DirectoryLocations
30 Newbridge Rd
Ste 101
East Meadow, NY 11554
Phone (516) 731-5740
11821 Queens Blvd
Ste 101
Forest Hills, NY 11375
Phone (718) 261-3663
11821 Queens Blvd
Ste 610
Forest Hills, NY 11375
Phone (516) 426-8604
11821 Queens Blvd
Ste 601
Forest Hills, NY 11375
Phone (516) 426-8604
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- East Meadow, NY
- NPI 1396966578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585267200000",
"number": "1780892232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11821 QUEENS BLVD STE 601",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757206",
"telephone_number": "516-426-8604",
"fax_number": "718-261-2285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11821 QUEENS BLVD STE 601",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757206",
"telephone_number": "516-426-8604",
"fax_number": "718-261-2285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN E NOVICK PHYSICIAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A",
"authorized_official_last_name": "NOVICK",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-426-8604",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": "NY",
"license": "140070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Allergy Testing Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Allergy Testing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.