Organization Active NPI

Nova Clinic LLC

  • Community/Behavioral Health Agency
  • Edina, MN
National Provider Identifier
1003711268
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NOVA CLINIC LLC
Practice address
5275 Edina Industrial Blvd Ste 230
Edina, MN 55439-2912
Phone
(252) 469-0022
NPI assigned
Oct 8, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ahmed Jama
Title
Director
Phone
(252) 469-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5275 Edina Industrial Blvd Ste 230
Edina, MN 55439-2912

Mailing address

5275 Edina Industrial Blvd Ste 230
Edina, MN 55439-2912
Phone (252) 469-0022

National Provider Directory

National Provider Directory

Locations

5275 Edina Industrial Blvd
Ste 230
Edina, MN 55439
Phone (952) 232-6900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1003711268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 EDINA INDUSTRIAL BLVD STE 230",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392912",
            "telephone_number": "252-469-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 EDINA INDUSTRIAL BLVD STE 230",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392912",
            "telephone_number": "252-469-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-469-0022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.