Active NPI
Robert Joseph Noveck, MD
- Clinical Pharmacology Physician
- Durham, NC
National Provider Identifier
1336330356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pharmacology Physician
- License
- 25MA07996100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50004 | Other | LA | MEDICARE |
| 1350095 | Medicaid | LA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD.01677 | LA | MD | Clinical Pharmacology Physician |
| 25MA07996100 | NJ | MD | Clinical 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.