Individual provider Active NPI

Robert Joseph Noveck, MD

  • Clinical Pharmacology Physician
  • Durham, NC
National Provider Identifier
1336330356
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pharmacology PhysicianTaxonomy code 208U00000X
License
25MA07996100 Issued in NJ
Practice address
200 Trent Ave.
Duke University School of Medicine, Dcru, DHS
Durham, NC 27710
Phone
(919) 684-1018
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pharmacology Physician 208U00000X MD.01677 LA
Clinical Pharmacology Physician 208U00000X 25MA07996100 NJ Primary

Addresses

Primary practice location

200 Trent Ave.
Duke University School of Medicine, Dcru, DHS
Durham, NC 27710

Mailing address

200 Trent Ave.
Duke University School of Medicine, Dcru, DHS
Durham, NC 07753-4476
Phone (919) 684-1018

Other identifiers 2

IdentifierTypeStateIssuer
50004OtherLAMEDICARE
1350095MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.01677LAMDClinical Pharmacology Physician
25MA07996100NJMDClinical Pharmacology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1336330356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TRENT AVE.",
            "address_2": "DUKE UNIVERSITY SCHOOL OF MEDICINE, DCRU, DHS",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "077534476",
            "telephone_number": "919-684-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRENT AVE.",
            "address_2": "DUKE UNIVERSITY SCHOOL OF MEDICINE, DCRU, DHS",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27710",
            "telephone_number": "919-684-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVECK",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "LA",
            "license": "MD.01677",
            "primary": false
        },
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "NJ",
            "license": "25MA07996100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "50004",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1350095",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.