DAVID RYAN NOVICKI PA NPI 1437409372

NPI Information

NPI: 1437409372
Provider Name: DAVID RYAN NOVICKI, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: APPLEDORE MEDICAL GROUP INC

PECOS Registration: Yes

Address:
330 BORTHWICK AVE
SUITE 300
PORTSMOUTH, NH
ZIP 03801
Phone: (603) 433-4666
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David Ryan Novicki, PA is a surgical physician assistant in Portsmouth, NH with 12 years of experience. David Ryan Novicki, PA NPI is 1437409372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

330 BORTHWICK AVE
SUITE 300
PORTSMOUTH, NH
ZIP 03801-174
Phone: (603) 433-4666
Fax: (603) 433-1338

The NPI 1437409372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/19/2012 and was last updated on 4/21/2017.

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
1	363AS0400X	Physician Assistant	Surgical	0979	NEW HAMPSHIRE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	3106853	MEDICAID	NEW HAMPSHIRE
2	T400358148	MEDICARE PIN	NEW HAMPSHIRE
3	P01802874	MEDICARE PIN	NEW HAMPSHIRE

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: 11/14/2023

NPI Synchronization or Removal

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