Organization Active NPI

Maia Plastic Surgery

  • Plastic Surgery Physician
  • Tysons Corner, VA
National Provider Identifier
1033734595
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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)CodeLicenseStatePrimary
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 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
49D2329406Maia Plastic Surgery8100 Boone Boulevard Suite 740, Vienna, VA 22182Certificate of waiverAug 27, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.