Active NPI
Maia Plastic Surgery
- Plastic Surgery Physician
- Tysons Corner, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- MAIA PLASTIC SURGERY
- Practice address
- 8100 Boone Boulevard
Suite 730
Tysons Corner, VA 22182-2688 - Phone
- (703) 574-4500
- Fax
- (443) 949-7508
- NPI assigned
- Jun 10, 2020
- Last updated
- Jun 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Munique Maia, M.D.
- Title
- Plastic Surgeon
- Phone
- (703) 574-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | NU | Primary |
Addresses
Primary practice location
8100 Boone Boulevard
Suite 730
Tysons Corner, VA 22182-2688
Mailing address
8300 Greensboro Dr Ste L1-180
MC Lean, VA 22102-3605
Phone (703) 574-4500
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2329406 | Maia Plastic Surgery | Certificate of waiver | Aug 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
8300 Greensboro Dr
Ste L1180
Mc Lean, VA 22102
8100 Boone Blvd
Ste 730
Tysons Corner, VA 22182
Phone (703) 574-4500
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Plastic Surgery Physician
- Tysons Corner, VA
- NPI 1356620967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591747200000",
"number": "1033734595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 GREENSBORO DR STE L1-180",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023605",
"telephone_number": "703-574-4500",
"fax_number": "443-949-7508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 BOONE BOULEVARD",
"address_2": "SUITE 730",
"city": "TYSONS CORNER",
"state": "VA",
"postal_code": "221822688",
"telephone_number": "703-574-4500",
"fax_number": "443-949-7508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAIA PLASTIC SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A",
"authorized_official_last_name": "MAIA",
"authorized_official_first_name": "MUNIQUE",
"authorized_official_title_or_position": "PLASTIC SURGEON",
"authorized_official_telephone_number": "703-574-4500",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tysons Corner, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.