Individual provider Active NPI

John Richard Noviello, CRNA

  • Anesthesiologist Assistant
  • Boynton Beach, FL
National Provider Identifier
1952357170
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
ARNP9167947 Issued in FL
Practice address
2815 S Seacrest Blvd
Boynton Beach, FL 33435-7934
Phone
(561) 737-7733
NPI assigned
May 26, 2006
Last updated
May 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X ARNP9167947 FL Primary

Addresses

Primary practice location

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7934

Mailing address

517 38TH St
West Palm Beach, FL 33407-4101
Phone (561) 863-8721

Other identifiers 2

IdentifierTypeStateIssuer
G27482OtherFLFLORIDA BLUE CROSS/BLUE SHIELD
304528500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091110000060 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193819860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 Denniston PL
Womens Health
Northampton, MA 01060-2052
Phone (413) 586-9866

30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2441

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP9167947FLMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Mar 1, 2020 Accepting new patients
Pulse Anesthesia Consultants PC CurrentSince Jan 5, 2023 Accepting new patients
Pioneer Valley Anesthesia, LLC CurrentSince Aug 26, 2013 Accepting new patients
Springfield Anesthesia Service, Inc. Past Accepting new patients
Anesthesia Associates P.a. Past Accepting new patients
South Florida Gastroenterology Associates PA PastSince Mar 3, 1997 Accepting new patients
Mdsine, LLC Past Accepting new patients
Gastroenterology Specialist Inc PastSince Mar 7, 2013 Accepting new patients
Gastroenterology Specialists Inc Past Accepting new patients
Patriot Anesthesia Associates, P.C. Past Accepting new patients
Massachusetts Anesthesiology Associates, P.C. PastSince Apr 15, 2013 Accepting new patients

Locations

31 Hall Dr
Amherst, MA 01002
Phone (413) 256-8561

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

50 Wason Ave
Fl 2
Springfield, MA 01107
Phone (413) 286-1020

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": "1210291200000",
    "number": "1952357170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 38TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334074101",
            "telephone_number": "561-863-8721",
            "fax_number": "561-863-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357934",
            "telephone_number": "561-737-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVIELLO",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": "ARNP9167947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE CROSS/BLUE SHIELD",
            "identifier": "G27482",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304528500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.