NOVEL MEDICINE PC NPI 1164682217

NPI Information

  • NPI: 1164682217
  • Provider Name: NOVEL MEDICINE PC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 33D1107328
  • Address: 9709 64 ROAD
    REGO PARK, NY
    ZIP 11374
  • Phone: (917) 882-5122

Map and Directions

Get Directions

NPI Details

NOVEL MEDICINE PC is an internal medicine in Rego Park, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NOVEL MEDICINE PC NPI is 1164682217. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9709 64 ROAD
REGO PARK, NY
ZIP 11374
Phone: (917) 882-5122

The provider's authorized official is Rita Goldvug .
The authorized official title is Medical Director and has the following contact phone number (917) 882-5122.

The CLIA number assigned to this NPI record is 33D1107328 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2008 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine196541NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.