Lissette Novar, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9105101 Issued in FL

Practice address

105 NE 3Rd St
Fort Lauderdale, FL 33301

Phone

(754) 206-2420

Fax

(954) 867-5583

NPI assigned

Oct 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lissette.novar.1@14940.direct.athenahealth.com

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.

• Marathon Health, Inc.

  • General Practice Physician
  • Fort Lauderdale, FL
  • NPI 1477983930
  NPD (past)

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1982980645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NE 3RD ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011046",
            "telephone_number": "754-206-2420",
            "fax_number": "954-867-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NE 3RD ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33301",
            "telephone_number": "754-206-2420",
            "fax_number": "954-867-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAR",
        "first_name": "LISSETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "21236",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9105101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nova Southeastern University, Inc.
• Novacare Rehabilitation
• Anna Novak, RDN, LDN
• Jamie Daniel Novak, CRNA
• Sandra Moxley Novak, PSYD, MSW, CHT
• Danielle Cherrnay Novick, CRNA
• Novinopath Diagnostics FL LLC
• Rafael Novoa
• Kevin Novreske
• Robin Nowling, LCSW

• Medical Physician Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.