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DR. DENISE NOVAES M.D.
NPI 1447257225
Pediatrics in Sparta, NJ

Active since July 07, 2005PECOS Enrolled
328A SPARTA AVE, SPARTA, NJ 07871(973) 729-2197(973) 729-3653 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Denise Novaes M.d. NPPES

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

DR. DENISE NOVAES M.D. (NPI 1447257225) is an individual pediatrics provider in Sparta, New Jersey, licensed in New Jersey (MA06906700) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Milford.

NPPES Registry Identity

NPI1447257225
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. DENISE NOVAESCredential: M.D.
Location Address328A SPARTA AVESparta, NJ 07871-1166
Mailing AddressLb#7550, Po Box 95000Philadelphia, PA 19195-3130 · (844) 362-1735 · Fax (973) 290-7495
Phone(973) 729-2197
Fax(973) 729-3653
Sole ProprietorYes
Enumeration DateJuly 7, 2005
Last NPPES UpdateAugust 27, 2020
NPPES CertifiedAugust 27, 2020
✔ NPI 1447257225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · MA06906700
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
328A SPARTA AVE, Sparta, NJ 07871
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Secondary Practice Location 1

Location 1111 E Catherine St Ste 140Milford, PA 18337-1349 · Phone (570) 296-2737 · Fax (570) 296-5126

Other Identifiers 1

Medicaid8180105NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Denise Novaes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Denise Novaes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint James Health Inc
32 mi
Federally Qualified Health Center (FQHC)
332 S 8TH ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 26 clinicians in this Medicare group
NPI 1538724554 (973) 789-8111
Advocare, LLC
80 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07871 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RENEE RODRIGUES-THOMAS NP
Nurse Practitioner (Pediatrics)
328A SPARTA AVE
SPARTA, NJ 07871
Sussex County (973) 729-2197
DR. RAYMOND PAUL DIPAOLO MD
Pediatrics
328A SPARTA AVE
SPARTA, NJ 07871
Sussex County (973) 729-2197
JOSEPH STEVEN LARENA FNP-C
Nurse Practitioner (Family)
328A SPARTA AVE
SPARTA, NJ 07871
Sussex County (973) 729-2197
INNA MESKIN MD
Pediatrics
328A SPARTA AVE
SPARTA, NJ 07871
Sussex County (973) 729-2197
ASHLEY MAE SIVERTSEN APN
Nurse Practitioner (Pediatrics)
328A SPARTA AVE
SPARTA, NJ 07871
Sussex County (973) 729-2197
PRIMARY CARE PARTNERS LLC
Pediatrics
328A SPARTA AVE
SPARTA, NJ 07871
Sussex County (973) 729-2197
DR. ALEXIS NICOLE CAPOZZOLI M.D.
Pediatrics
328A SPARTA AVE
SPARTA, NJ 07871
Sussex County (973) 729-2197
CAROL ELIZABETH CALABRESE MD
Pediatrics
328A SPARTA AVE
SPARTA, NJ 07871
Sussex County (973) 729-2197

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 Denise Novaes's NPI number?

The NPI number for Denise Novaes is 1447257225. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Denise Novaes located?

Denise Novaes practices at 328A Sparta Ave, Sparta, NJ 07871. The listed phone number is (973) 729-2197.

What is Denise Novaes's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Denise Novaes enrolled in Medicare?

Yes. Denise Novaes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Denise Novaes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Novaes reassigns Medicare benefits to 2 organizations: Saint James Health Inc (Newark, NJ) and Advocare, LLC (Marlton, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Denise Novaes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Novaes accept?

Health plans from Oscar Health list Denise Novaes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Denise Novaes was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.