Nova Reconstructive and Cosmetic Surgery PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101240322 Issued in VA

Legal business name

NOVA RECONSTRUCTIVE AND COSMETIC SURGERY PLLC

Practice address

8180 Greensboro Dr
#1015
MC Lean, VA 22102-3888

Phone

(703) 543-9252

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Marwan Khalifeh

Title

Member

Phone

(202) 486-2261

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1013379874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 GREENSBORO DR",
            "address_2": "#1015",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 GREENSBORO DR",
            "address_2": "#1015",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023888",
            "telephone_number": "703-543-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA RECONSTRUCTIVE AND COSMETIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "KHALIFEH",
        "authorized_official_first_name": "MARWAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "202-486-2261"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101240322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria A Nolden, LPC
• Marie-Louise Nonge
• Fatima Noorani, M.D
• Northwest Internists LLC
• Anastasia Noskova, PSY.D.
• Nova Surgicare
• Novel Smiles
• Leeron Silberberg Nowak, PSYD
• NS Reconstructive Surgery LLC
• Bianca Michelle Nunez

• Specialist in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.