NPIMap

Organization Active NPI

David John Novelli

  • Family Medicine Physician
  • Elma, NY
National Provider Identifier
1609563469
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DAVID JOHN NOVELLI
Practice address
2731 Transit Rd Ste 107
Elma, NY 14059-9039
Phone
(716) 677-4178
Fax
(855) 816-9607
NPI assigned
Apr 21, 2023
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Amanda Mae Hy, CMOM
Title
Office Manager
Phone
(716) 677-4178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2731 Transit Rd Ste 107
Elma, NY 14059-9039

Mailing address

2731 Transit Rd Ste 107
Elma, NY 14059-9039
Phone (716) 677-4178

National Provider Directory

National Provider Directory

Locations

2731 Transit Rd
Ste 107
Elma, NY 14059
Phone (716) 677-4178

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1609563469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 TRANSIT RD STE 107",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599039",
            "telephone_number": "716-677-4178",
            "fax_number": "855-816-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 TRANSIT RD STE 107",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599039",
            "telephone_number": "716-677-4178",
            "fax_number": "855-816-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID JOHN NOVELLI",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "HY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "716-677-4178",
        "authorized_official_credential": "CMOM"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.