National Provider Identifier
Noah David Mundt, PA-C
Noah David Mundt, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 275-4912.
Profile Overview
- NPI
- 1558048454
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 03, 2023
- Last Updated
- November 19, 2025
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-4912
Mailing Address
- 601 Elmwood Ave Box Med
- Rochester, NY 14642-0001
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1558048454
- Entity Type
- Individual
- Last Name
- Mundt
- First Name
- Noah
- Middle Name
- David
- Credential
- PA-C
- Mailing Street Address
- 601 Elmwood Ave Box Med
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-4912
- Enumeration Date
- July 03, 2023
- Last Updated
- November 19, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 19, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)