NPIMap

Organization Active NPI

Nova Pediatrics

  • Pediatrics Physician
  • Woodbridge, VA
National Provider Identifier
1033224340
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NOVA PEDIATRICS
Practice address
1483 Old Bridge Rd
Suite 201
Woodbridge, VA 22192-2738
Phone
(703) 491-2141
Fax
(703) 690-0815
NPI assigned
Aug 20, 2006
Last updated
Apr 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Authorized official

Name
Dr. Laurence Seidman, M.D.NPI 1629097092
Title
Managing Partner
Phone
(703) 451-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1483 Old Bridge Rd
Suite 201
Woodbridge, VA 22192-2738

Mailing address

6120 Brandon Ave
Suite 308
Springfield, VA 22150-2522
Phone (703) 451-3333

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0223718Nova Pediatrics LTD1483 Old Bridge Rd - Suite 201, Woodbridge, VA 22192Provider-performed microscopyJul 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Nova Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1483 Old Bridge Rd
Ste 201
Woodbridge, VA 22192
Phone (703) 491-2141

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1033224340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 BRANDON AVE",
            "address_2": "SUITE 308",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502522",
            "telephone_number": "703-451-3333",
            "fax_number": "703-451-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 OLD BRIDGE RD",
            "address_2": "SUITE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922738",
            "telephone_number": "703-491-2141",
            "fax_number": "703-690-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "SEIDMAN",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "703-451-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.