Individual provider Active NPI

Edward J Novosel, DO

  • Family Medicine Physician
  • Niles, OH
National Provider Identifier
1871574079
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34002381 Issued in OH
Practice address
1150 Niles Cortland Rd
Niles, OH 44446
Phone
(330) 652-1759
Fax
(330) 652-2719
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34002381 OH Primary

Addresses

Primary practice location

1150 Niles Cortland Rd
Niles, OH 44446

Mailing address

1150 Niles Cortland Rd
Niles, OH 44446
Phone (330) 652-1759

Other identifiers 1

IdentifierTypeStateIssuer
0283983MedicaidOH

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

LicenseStateTypeSpecialty
2381OHMDChiropractor
34002381OHMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871574079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NILES CORTLAND RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "44446",
            "telephone_number": "330-652-1759",
            "fax_number": "330-652-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NILES CORTLAND RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "44446",
            "telephone_number": "330-652-1759",
            "fax_number": "330-652-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOSEL",
        "first_name": "EDWARD",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34002381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283983",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.