Bracha B Novak

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00979200 Issued in NJ

Practice address

29 Cabernet Dr
Lakewood, NJ 08701-4658

Phone

(917) 796-4256

NPI assigned

Jan 24, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1972067833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CABERNET DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014658",
            "telephone_number": "917-796-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CABERNET DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014658",
            "telephone_number": "917-796-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "BRACHA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00979200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast ASC Partners LLC
• Northeast Surgi-Care, LLC
• Northeast Surgicare, LLC
• Chaya D. Notis
• Kristin Ashley Noto, WHNP-BC, CNM
• Naomi Novice
• Rachelle Novoseller, DPT
• Kara Lee Novotny, M.S., CCC-SLP
• Yuliya Nudelman, M.D.
• Miriam Nulman, OTR

• Speech-Language Pathologist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.