Individual provider Active NPI

Margaret Ann Novotny, MD

  • Obstetrics & Gynecology Physician
  • Lockport, NY
National Provider Identifier
1962472787
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.147527 Issued in OH
Practice address
57 Davison CT
Suite 2
Lockport, NY 14094-5370
Phone
(716) 439-9183
Fax
(716) 439-4479
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 195021 NY
Obstetrics & Gynecology Physician 207V00000X 35.147527 OH Primary

Addresses

Primary practice location

57 Davison CT
Suite 2
Lockport, NY 14094-5370

Mailing address

57 Davison CT
Suite 2
Lockport, NY 14094-5370
Phone (716) 439-9183

Other identifiers 1

IdentifierTypeStateIssuer
01586281MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110228000119 NY Practitioner - Obstetrics/Gynecology 3476467846
I20230405002227 OH Practitioner - Obstetrics/Gynecology 3476467846 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
195021NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheltering Arms Hospital Foundation, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mnovotny200316@direct-guthrie.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1962472787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 DAVISON CT",
            "address_2": "SUITE 2",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945370",
            "telephone_number": "716-439-9183",
            "fax_number": "716-439-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 DAVISON CT",
            "address_2": "SUITE 2",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945370",
            "telephone_number": "716-439-9183",
            "fax_number": "716-439-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOTNY",
        "first_name": "MARGARET",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "195021",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.147527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01586281",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.