Active NPI
Diana T Noller, P.A., C.
- Physician Assistant
- Lumberton, NJ
National Provider Identifier
1457307548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MP144
- Practice address
- 737 Main St
Suite 6
Lumberton, NJ 08048-3089 - Phone
- (609) 267-9400
- Fax
- (609) 518-1868
- NPI assigned
- May 26, 2006
- Last updated
- Jul 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MP144 | NJ | Primary |
Addresses
Primary practice location
737 Main St
Suite 6
Lumberton, NJ 08048-3089
Mailing address
737 Main St
Suite 6
Lumberton, NJ 08048-3089
Phone (609) 267-9400
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MP144 | NJ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1457307548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 MAIN ST",
"address_2": "SUITE 6",
"city": "LUMBERTON",
"state": "NJ",
"postal_code": "080483089",
"telephone_number": "609-267-9400",
"fax_number": "609-518-1868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 MAIN ST",
"address_2": "SUITE 6",
"city": "LUMBERTON",
"state": "NJ",
"postal_code": "080483089",
"telephone_number": "609-267-9400",
"fax_number": "609-518-1868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLLER",
"first_name": "DIANA",
"middle_name": "T",
"credential": "P.A., C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "MP144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.