MEDICARE: DR. ROBERT JOSEPH NOVACO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	ME164505	FL
2	2085N0700X	Neuroradiology Physician	C1-0012565	DE
3	2085N0700X	Neuroradiology Physician	MD463724	PA
4	2085R0202X	Diagnostic Radiology Physician	C1-0012565	DE
5	2085R0202X	Diagnostic Radiology Physician	MD463724	PA
6	2085R0202X	Diagnostic Radiology Physician	270314	MA
7	2085N0700X	Neuroradiology Physician	25MA10286200	NJ
8	2085R0202X	Diagnostic Radiology Physician	25MA10286200	NJ

General Provider Information

NPI Number	:	1023371952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT JOSEPH NOVACO M.D.

Provider Business Mailing Address
First Line	:	3862 PARKSIDE DR
Second Line	:
City	:	FURLONG
State	:	PA
Zip	:	18925-1422
Country	:	US
Telephone Number	:	201-452-8794
Fax Number	:

Provider Business Practice Location Address
First Line	:	6001 WEBB RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-3241
Country	:	US
Telephone Number	:	201-452-8794
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2012
Last Update Date	:	04/30/2026

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