Active NPI
Stuart N. Novack, M.D.
- Rheumatology Physician
- Norwalk, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 015540
- Practice address
- 761 Main Ave
Norwalk, CT 06851-1080 - Phone
- (203) 852-2290
- Fax
- (203) 899-5029
- NPI assigned
- Aug 19, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 015540 | CT | |
| Rheumatology Physician | 207RR0500X | 015540 | CT | Primary |
Addresses
Primary practice location
761 Main Ave
Norwalk, CT 06851-1080
Mailing address
761 Main Ave Ste 112
Norwalk, CT 06851-1080
Phone (203) 852-2290
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001155407 | Medicaid | CT | |
| 1972595494 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100415000764 | CT | Practitioner - Rheumatology | 3476642554 |
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 1966
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
40 Cross St
Norwalk, CT 06851-4647
40 Cross St
Norwalk, CT 06851-4661
Hospital & facility affiliations
- Danbury Hospital
- Norwalk Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015540 | CT | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice CT, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
40 Cross St
Ste 4
Norwalk, CT 06851
Phone (203) 845-2000
761 Main Ave
Norwalk, CT 06851
Phone (203) 845-2160
40 Cross St
#4
Norwalk, CT 06851
761 Main Ave
Ste 112
Norwalk, CT 06851
Phone (203) 505-3997
40 Cross St
Fl 4
Norwalk, CT 06851
Phone (203) 845-4800
520 West Ave
Norwalk, CT 06850
Phone (203) 852-2417
40 Cross St
Norwalk, CT 06851
Phone (203) 845-2020
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.
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1346441953
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1427041581
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1649263880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1972595494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 MAIN AVE STE 112",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511080",
"telephone_number": "203-852-2290",
"fax_number": "203-899-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 MAIN AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511080",
"telephone_number": "203-852-2290",
"fax_number": "203-899-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVACK",
"first_name": "STUART",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "015540",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CT",
"license": "015540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001155407",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972595494",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.