NELLIE NOVAK (NPI# 1649299934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649299934 |
| Entity Type | Individual |
| Full Name | NELLIE NOVAK |
| Credential | MD |
| Practice Address |
817 Federal Street Suite 300 Camden NJ 08103 |
| Mailing Address |
817 Federal Street Camden NJ 08103 |
| Practice Telephone | 8565415933 |
| Practice Fax Number | 8565413340 |
| Mailing Telephone | 8565415933 |
| Mailing Fax Number | 8565413340 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25MA05354100 | NJ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2105705 | 05 |
| Street Address |
817 FEDERAL STREET, SUITE 300 |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912153792 | Michael Rachshtut | Specialist | Md Anderson Cancer Center, 2 Cooper Plaza, Camden, NJ 08103 | 2008-08-13 |
| 1235309915 | John D Holtsclaw | Specialist | 424 Market Street, Camden, NJ 08102 | 2008-03-10 |
| 1396924130 | Cynthia J Henderson | Specialist | 1001-b Fairlawn Dr, Camden, SC 29020 | 2007-10-29 |
| 1780808196 | Jim Glenn Davis | Specialist | 502 Greening St, Suite 3c, Camden, AR 71701-3491 | 2007-04-13 |
| 1750325312 | Lillian S Hwee | Specialist | 2610 Federal Street, Camden, NJ 08105-1936 | 2006-06-15 |
| 1013967421 | James B Tucker | Specialist | 239 Old North Rd, Camden, DE 19934-1241 | 2006-05-10 |
| 1750355590 | Linda C Mcleod | Specialist | 1009 Fairlawn Dr, Camden, SC 29020-4525 | 2006-02-16 |
| 1891768404 | Tudor G Jovin | Specialist | 3 Cooper Plz Rm 104, Camden, NJ 08103-1407 | 2006-02-13 |
| 1851399455 | Christina M Lamonica | Specialist | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2005-07-08 |
| 1790781177 | Joseph P Jackson Jr. | Specialist | 507 Walnut St, Camden, SC 29020-3649 | 2005-06-22 |
| Find all providers in CAMDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.