Individual provider

Shannon Novak

Family Nurse Practitioner

Shannon Novak is a Family Nurse Practitioner in Red Bank, NJ, registered under NPI 1205763778. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 258 BROAD ST STE 3, Red Bank, NJ 07701. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

258 BROAD ST STE 3, Red Bank, NJ 07701 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
26NJ155572200 NJ Family Nurse Practitioner primary
11047425 FL Family Nurse Practitioner

Licences are recorded in 2 states: NJ, FL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Florida and New Jersey. The practice address on file is in Red Bank, NJ, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida
Licence
11047425
Specialty
Family Nurse Practitioner
Verify with the FL board →
NJ New Jersey practice address
Licence
26NJ155572200
Specialty
Family Nurse Practitioner
Verify with the NJ board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family 26NJ155572200 NJ primary
363LF0000X Family Nurse Practitioner Family 11047425 FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1205763778 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 7, 2026
Last updatedMay 11, 2026
StatusActive
Sole proprietorYes
Practice address 258 BROAD ST STE 3
Red Bank, NJ 07701
(732) 982-6128
Fax (732) 383-8196
Mailing address 9 BRIDGEWATERS DR APT 23
Oceanport, NJ 07757
This record was updated on May 11, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1205763778 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 0 5 7 6 3 7 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 5 6 6 7 5

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1205763778?
NPI 1205763778 is the National Provider Identifier assigned to Shannon Novak in Red Bank, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Shannon Novak?
The phone number on file with NPPES is (732) 982-6128, last updated May 11, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1205763778 a valid number?
Yes. 1205763778 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.