Active NPI
Isaac Meir Novick, M.D.
- Dermatology Physician
- Brooklyn, NY
National Provider Identifier
1962414854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 118099
- Practice address
- 1821 Avenue J
Brooklyn, NY 11230-3808 - Phone
- (718) 338-3030
- Fax
- (718) 338-0112
- NPI assigned
- Aug 12, 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 118099 | NY | Primary |
Addresses
Primary practice location
1821 Avenue J
Brooklyn, NY 11230-3808
Mailing address
35 Wood LN
Woodmere, NY 11598-2230
Phone (516) 295-1049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00220351 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients |
Interoperability endpoints
- isaacnovick@mai.allscriptsdirect.net
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962414854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 WOOD LN",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982230",
"telephone_number": "516-295-1049",
"fax_number": "516-295-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 AVENUE J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112303808",
"telephone_number": "718-338-3030",
"fax_number": "718-338-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVICK",
"first_name": "ISAAC",
"middle_name": "MEIR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "118099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00220351",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
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.