NPI Code Detail JSON Logo

1942803960 NPI number — NOVA MEDICAL GROUP PLLC

NPI Number: 1942803960
Health Care Provider/Practitioner: NOVA MEDICAL GROUP PLLC

Information about “1942803960” NPI (NOVA MEDICAL GROUP PLLC) exists in 1942803960 in HTML format HTML  |  1942803960 in plain Text format TXT  |  1942803960 in PDF (Portable Document Format) PDF  |  1942803960 in an XML format XML  formats.

NPI Number : 1942803960 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942803960",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NOVA MEDICAL GROUP PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14383 NEWBROOK DRIVE",
    "SecondLineMailingAddress": "SUITE # 300, PMB-433",
    "MailingAddressCityName": "CHANTILLY",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "20151",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-495-3176",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "106 ELDEN STREET",
    "SecondLinePracticeLocationAddress": "UNIT 10",
    "PracticeLocationAddressCityName": "HERNDON",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "20170",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-495-3176",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/20/2020",
    "LastUpdateDate": "01/04/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHARMA",
    "AuthorizedOfficialFirstName": "SAPNA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PHYSICIAN",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "703-495-3176",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2300X",
        "TaxonomyName": "Primary Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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