Basic Information
Provider Information
NPI: 1154323061
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NOVY
FirstName: DONALD
MiddleName: STUART
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 44 WALTERS BROOK DR
Address2:  
City: BRIDGEWATER
State: NJ
PostalCode: 088075574
CountryCode: US
TelephoneNumber: 9085419708
FaxNumber: 9087885279
Practice Location
Address1: 6 SAND HILL RD STE 201
Address2:  
City: FLEMINGTON
State: NJ
PostalCode: 088224946
CountryCode: US
TelephoneNumber: 9082374072
FaxNumber: 9087827195
Other Information
ProviderEnumerationDate: 08/10/2005
LastUpdateDate: 08/26/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/26/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X25MA03588400NJY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home