Organization Active NPI

Brian E Novick Physician PC

  • Allergy Physician
  • Forest Hills, NY
National Provider Identifier
1780892232
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
140070 Issued in NY
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

Updated by the provider on Mar 27, 2020

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)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.