Active NPI
Ljubica Azer, M.D.
- Legal Medicine
- Dale City, VA
National Provider Identifier
1023034709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 0101027027
- Practice address
- 4158 Dale Blvd
Dale City, VA 22193-2225 - Phone
- (703) 680-5959
- Fax
- (703) 730-1046
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 0101027027 | VA | Primary |
Addresses
Primary practice location
4158 Dale Blvd
Dale City, VA 22193-2225
Mailing address
4158 Dale Blvd
Dale City, VA 22193
Phone (703) 680-5959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101027027 | VA | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023034709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4158 DALE BLVD",
"city": "DALE CITY",
"state": "VA",
"postal_code": "22193",
"telephone_number": "703-680-5959",
"fax_number": "703-730-1046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4158 DALE BLVD",
"city": "DALE CITY",
"state": "VA",
"postal_code": "221932225",
"telephone_number": "703-680-5959",
"fax_number": "703-730-1046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZER",
"first_name": "LJUBICA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "VA",
"license": "0101027027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dale City, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.