Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Donald R Noll, DO

Individual provider Internal Medicine Physician · NPI 1093708067

Donald R Noll, DO is an Internal Medicine in Stratford, New Jersey. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 1987, 39 years ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
39
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
NJ
In the registry since
2005
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

42 E Laurel Rd Ste 1800
Stratford, NJ 08084-1338
Phone: (856) 566-6843
Fax: (856) 566-6419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 25MB05445900 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 25MB05445900 (NJ)

Record details

NPI number1093708067
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 25, 2005
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024
Mailing address42 E Laurel Rd Ste 1800, Stratford, NJ 08084-1338

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesGERIATRIC MEDICINE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 1987 (39 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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