Active NPI
Howard Jack Novack, DDS
- General Practice Physician
- Oradell, NJ
National Provider Identifier
1972605160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 7128
- Practice address
- 800 Soldier Hill Rd
Oradell, NJ 07649-1203 - Phone
- (201) 666-0475
- Fax
- (201) 265-1643
- NPI assigned
- Sep 1, 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 7128 | NJ | Primary |
Addresses
Primary practice location
800 Soldier Hill Rd
Oradell, NJ 07649-1203
Mailing address
800 Soldier Hill Road
Oradell, NJ 07649-1203
Phone (201) 666-0475
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7128 | NJ | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972605160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SOLDIER HILL ROAD",
"city": "ORADELL",
"state": "NJ",
"postal_code": "076491203",
"telephone_number": "201-666-0475",
"fax_number": "201-265-1643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SOLDIER HILL RD",
"city": "ORADELL",
"state": "NJ",
"postal_code": "076491203",
"telephone_number": "201-666-0475",
"fax_number": "201-265-1643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVACK",
"first_name": "HOWARD",
"middle_name": "JACK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NJ",
"license": "7128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oradell, NJ
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.