Mark Novasack, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02608500 Issued in NJ

Practice address

560 Shore Rd
Somers Point, NJ 08244-2447

Phone

(609) 927-5454

Fax

(609) 927-6369

NPI assigned

Jul 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Novasack Family Dental LLC

  • General Practice Dentistry
  • Somers Point, NJ
  • NPI 1548636400
  NPD (past)

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1962885855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442447",
            "telephone_number": "609-927-5454",
            "fax_number": "609-927-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442447",
            "telephone_number": "609-927-5454",
            "fax_number": "609-927-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVASACK",
        "first_name": "MARK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02608500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Behavioral Servcies, Inc
• Northeast Behavioral Services, Inc
• Patricia Norton, CRNA
• John R Nosti, D.M.D., F.A.GD.
• Novasack Family Dental LLC
• Milton A Noveck, D.M.D.
• Nunn Home Health Care Service, LLC
• Nutrition With Kie
• Amy O'Connell, LMT
• James Joseph O'Connor III, MD

• Dentist in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.