SHANNON NOVAK
NPI 1205763778
Nurse Practitioner - Family in Red Bank, NJ

Q: What is Shannon Novak's NPI number?

The NPI number for Shannon Novak is 1205763778. It was assigned to this individual provider in the NPPES registry on May 7, 2026.

Q: What is Shannon Novak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Novak was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 07, 2026

258 BROAD ST STE 3, RED BANK, NJ 07701(732) 982-6128(732) 383-8196 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2026, May 7, 2026 (2 updates tracked since 2026).

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About Shannon Novak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON NOVAK (NPI 1205763778) is an individual family provider in Red Bank, New Jersey, licensed in New Jersey (26NJ155572200) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1205763778

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON NOVAK

Location Address258 BROAD ST STE 3Red Bank, NJ 07701-2036

Mailing Address9 Bridgewaters Dr Apt 23Oceanport, NJ 07757-1159 · (732) 982-6128 · Fax (732) 383-8196

Phone(732) 982-6128

Fax(732) 383-8196

Sole ProprietorYes

Enumeration DateMay 7, 2026

Last NPPES UpdateMay 11, 20262 updates tracked since enumeration

NPPES CertifiedMay 11, 2026

✔ NPI 1205763778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NJ · 26NJ155572200✔ Licensed in FL · 11047425

258 BROAD ST STE 3, Red Bank, NJ 07701

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Novak's NPI number?

The NPI number for Shannon Novak is 1205763778. It was assigned to this individual provider in the NPPES registry on May 7, 2026.

Where is Shannon Novak located?

Shannon Novak practices at 258 Broad St Ste 3, Red Bank, NJ 07701. The listed phone number is (732) 982-6128.

What is Shannon Novak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shannon Novak was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.