Shannon Novak
Nurse Practitioner, Family in Red Bank, New Jersey
1205763778- Practice location
- 258 Broad St Ste 3, Red Bank, NJ 07701-2036
- Phone
- 732-982-6128
- Fax
- 732-383-8196
- Last updated
- May 11, 2026
Shannon Novak is a Nurse Practitioner, Family based in Red Bank, NJ. Shannon Novak practices in Red Bank, NJ. The NPI Number for Shannon Novak is 1205763778 and holds a License No. 11047425 (FL). The current practice location address for Shannon Novak is 258 Broad St Ste 3, Red Bank, NJ 07701-2036 and can be reached out via phone at 732-982-6128 and via fax at 732-383-8196.
Provider Profile Details
- NPI Number
- 1205763778
- Provider Name
- Shannon Novak
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 258 Broad St Ste 3, Red Bank, NJ 07701-2036
- Phone Number
- 732-982-6128
- Fax Number
- 732-383-8196
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 7, 2026
- Last Update Date
- May 11, 2026
- Certification Date
- May 11, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 258 Broad St Ste 3
Red Bank, NJ 07701-2036 - City
- Red Bank
- State
- New Jersey
- Zip
- 07701-2036
- Phone Number
- 732-982-6128
- Fax Number
- 732-383-8196
Provider Business Mailing Address Details
- Address
- 9 Bridgewaters Dr Apt 23
Oceanport, NJ 07757-1159 - City
- Oceanport
- State
- NJ
- Zip
- 07757-1159
- Phone Number
- 732-982-6128
- Fax Number
- 732-383-8196
License Information
- License Number (1)
- 11047425
- License State (1)
- FL
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- 26NJ155572200
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Red Bank, NJ
View all Nurse Practitioner, Family providers in Red Bank →- Carolynn A BitzerNurse Practitioner, Family · NPI 1457548422
- Dhenu B Patel, FNPNurse Practitioner, Family · NPI 1013678804
- Indira Pokharel, APNNurse Practitioner, Family · NPI 1790676302
- Jessica Kethley, NP-CNurse Practitioner, Family · NPI 1598344095
- Julie A Edwards, FNPNurse Practitioner, Family · NPI 1760904205
- Kenya E Penca, FNPNurse Practitioner, Family · NPI 1417599275
Frequently Asked Questions
What is the NPI number of Shannon Novak?
The NPI number of Shannon Novak is 1205763778. It was assigned on May 7, 2026 and is currently active in the NPPES registry.
What is the specialty of Shannon Novak?
Shannon Novak is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in FL under license number 11047425.
Where does Shannon Novak practice?
The practice location is 258 Broad St Ste 3, Red Bank, NJ 07701-2036. The office can be reached at 732-982-6128 (phone) or 732-383-8196 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205763778 directly on the NPPES registry website.