| 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 | 47 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 |
|---|---|---|
| Universal Radiology Partners Of Florida Llc | 8224554027 | 13 |
| Blue Radiology Services Llc | 9032407382 | 13 |
| Entity Name | Elite Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376819888 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 |
| Entity Name | Universal Radiology Partners Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225836703 PECOS PAC ID: 8224554027 Enrollment ID: O20250424002050 |
| 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 |