Dr Mark Douglas Novick, MD | |
61 E 77th St, Nyc, NY 10075-1902 | |
(212) 772-3111 | |
Not Available |
Full Name | Dr Mark Douglas Novick |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 46 Years |
Location | 61 E 77th St, Nyc, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225089428 | NPI | - | NPPES |
002800400 | Medicaid | FL | |
01015021 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 166374-1 (New York) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | ME97607 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellington Regional Medical Center Llc | Wellington, FL | Hospital |
Lakeside Medical Center | Belle glade, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blue Radiology Services Llc | 9032407382 | 12 |
Entity Name | Elite Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346516853 PECOS PAC ID: 2466496880 Enrollment ID: O20050616000704 |
Entity Name | Independent Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013908912 PECOS PAC ID: 4587694716 Enrollment ID: O20050817000898 |
Entity Name | Blue Radiology Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174976468 PECOS PAC ID: 9032407382 Enrollment ID: O20161019001652 |
Entity Name | Network Imaging Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588739247 PECOS PAC ID: 1355373895 Enrollment ID: O20221222001768 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Douglas Novick, MD 61 E 77th St, New York, NY 10075-1817 Ph: (212) 772-3111 | Dr Mark Douglas Novick, MD 61 E 77th St, Nyc, NY 10075-1902 Ph: (212) 772-3111 |
Jiyon Lee, M. D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 160 East 34th Street, Nyu Cancer Institute, Breast Imaging Center Third Floor, Nyc, NY 10016 Phone: 212-731-5353 |