National Provider Identifier
David J Novelli, M.D.
David J Novelli, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Elma, NY and a listed phone number of (716) 677-4178.
Profile Overview
- NPI
- 1093776445
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- March 28, 2006
- Last Updated
- March 07, 2023
Practice Location
- 2731 Transit RD Ste 107
- Elma, NY 14059-9039
Phone: (716) 677-4178
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1093776445
- Entity Type
- Individual
- Last Name
- Novelli
- First Name
- David
- Middle Name
- J
- Name Prefix
- Dr.
- Credential
- M.D.
- Provider Other Last Name
- Novelli
- Provider Other First Name
- David
- Provider Other Middle Name
- J
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- M.D.
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 2731 Transit RD Ste 107
- Mailing City
- Elma
- Mailing State
- NY
- Mailing ZIP Code
- 14059-9039
- Mailing Country
- US
- Mailing Phone
- (716) 677-4178
- Mailing Fax
- (855) 816-9607
- Practice Street Address
- 2731 Transit RD Ste 107
- Practice City
- Elma
- Practice State
- NY
- Practice ZIP Code
- 14059-9039
- Practice Country
- US
- Practice Phone
- (716) 677-4178
- Practice Fax
- (855) 816-9607
- Enumeration Date
- March 28, 2006
- Last Updated
- March 07, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- August 24, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 00617294 (NY), 128300-1 (NY, License), 33D0949004 (NY, Clia), 16-1172119 (NY, Tax Id)