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

Mr. Fredric E Noller, PA-C

Individual provider Physician Assistant · NPI 1790127934

Mr. Fredric E Noller, PA-C is a Physician Assistant in Cherry Hill, New Jersey. Qualified in 2013, 13 years ago. Practices with Dallas Pulmonary and Critical Care PA, a 186-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
13
Licensed in
NJ
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

107 Berlin Rd
Cherry Hill, NJ 08034-3526
Phone: (856) 429-1800
Fax: (856) 429-1081
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00314800 (NJ)

Record details

NPI number1790127934
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 29, 2013
Last updated in NPPESNovember 21, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Dallas Pulmonary And Critical Care Pa — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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