Organization Active NPI

Earl L. Noyan, MD, LLC

  • Surgery Physician
  • Hamilton, NJ
National Provider Identifier
1821277765
Registry record updated Oct 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
EARL L. NOYAN, MD, LLC
Practice address
445 White Horse Ave Ste 204B
Hamilton, NJ 08610-1408
Phone
(609) 585-2447
Fax
(609) 585-2667
NPI assigned
Oct 28, 2007
Last updated
Oct 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2007

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

Authorized official

Name
Earl L Noyan, MDNPI 1447310784
Title
Owner
Phone
(609) 585-2447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

445 White Horse Ave Ste 204B
Hamilton, NJ 08610-1408

Mailing address

445 White Horse Ave Ste 204B
Hamilton, NJ 08610-1408
Phone (609) 585-2447

Other identifiers 1

IdentifierTypeStateIssuer
0009261MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060320000207 NJ Part B Supplier - Clinic/Group Practice 0345257176 Receives reassigned benefits from 1 practitioner
Practice locations: Freehold, NJ; Hamilton, NJ

National Provider Directory

National Provider Directory

Locations

1374 Whitehorse Hamilton Square Rd
#S304
Hamilton, NJ 08690
Phone (609) 585-2447

445 White Horse Ave
Ste 204B
Hamilton, NJ 08610
Phone (609) 585-2447

Practitioners & affiliated clinicians

Practitioners 1

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": "1193529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193529600000",
    "number": "1821277765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WHITE HORSE AVE STE 204B",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101408",
            "telephone_number": "609-585-2447",
            "fax_number": "609-585-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WHITE HORSE AVE STE 204B",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101408",
            "telephone_number": "609-585-2447",
            "fax_number": "609-585-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL L. NOYAN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-28",
        "last_updated": "2007-10-28",
        "status": "A",
        "authorized_official_last_name": "NOYAN",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-585-2447",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009261",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.