| Cynthia M Novak, | |
|
101 Park Dr, Kenilworth, NJ 07033-1409 | |
| (973) 670-3021 | |
| Not Available |
| Full Name | Cynthia M Novak |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Neonatal |
| Location | 101 Park Dr, Kenilworth, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013501873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LN0000X | Nurse Practitioner - Neonatal | 26NJ01113100 (New Jersey) | Primary |
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
| Entity Name | Hackensack Meridian Health Medical Group - Complex Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154379626 PECOS PAC ID: 0446272298 Enrollment ID: O20060109000000 |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia M Novak, 101 Park Dr, Kenilworth, NJ 07033-1409 Ph: (973) 670-3021 | Cynthia M Novak, 101 Park Dr, Kenilworth, NJ 07033-1409 Ph: (973) 670-3021 |
Karen Kiefer, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 657 Newark Ave, Kenilworth, NJ 07033 Phone: 908-477-3047 | |
Christia Marie San Juan, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 N 23rd St, Kenilworth, NJ 07033 Phone: 732-640-4602 | |
Dr. Ashley Nicole Pianko, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 218 N 12th St, Kenilworth, NJ 07033 Phone: 908-265-5000 | |
Justin Daryl A Duan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41 N 11th St, Kenilworth, NJ 07033 Phone: 201-673-4436 |