SHANNON NOVAK NPI 1205763778

NPI Information

  • NPI: 1205763778
  • Provider Name: SHANNON NOVAK
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 258 BROAD ST STE 3
    RED BANK, NJ
    ZIP 07701
  • Phone: (732) 982-6128

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NPI Details

Shannon Novak is a family nurse practitioner in Red Bank, NJ. Shannon Novak NPI is 1205763778. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

258 BROAD ST STE 3
RED BANK, NJ
ZIP 07701-036
Phone: (732) 982-6128
Fax: (732) 383-8196

The enumeration date for this NPI number is 5/7/2026 and was last updated on 5/11/2026.

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
1363LF0000XNurse PractitionerFamily11047425FLORIDANo
2363LF0000XNurse PractitionerFamily26NJ155572200NEW JERSEYYes

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

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