Woodbridge Primary Care PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101225617 Issued in VA

Legal business name

WOODBRIDGE PRIMARY CARE PLLC

Practice address

2000 Opitz Blvd
Woodbridge, VA 22191-3306

Phone

(703) 494-4116

Fax

(703) 497-0051

NPI assigned

May 21, 2015

Organization subpart

No

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

Authorized official

Name

Nizar M Hussain, MDNPI 1023008976

Title

MD

Phone

(703) 499-9144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nizar Mohamed Hussain, MD

  • Internal Medicine Physician
  • Woodbridge, VA
  • NPI 1023008976
  Medicare reassignment NPD Authorized official
• Sunita Adhikari

  • Primary Care Nurse Practitioner
  • Woodbridge, VA
  • NPI 1366138521
  NPD
• Deana Ghassan Al-Khateeb, MD

  • Internal Medicine Physician
  • Woodbridge, VA
  • NPI 1851381701
  NPD
• Harriet Vaughn Greenfield, NP

  • Adult Health Nurse Practitioner
  • Lake Ridge, VA
  • NPI 1790897122
  NPD
• Wali Azizi, M.D.

  • Hospitalist Physician
  • Falls Church, VA
  • NPI 1326007345

  Internal Medicine

  NPD (past)
• Lorena Simona Khouri-Popp, MD

  • Internal Medicine Physician
  • Alexandria, VA
  • NPI 1386658243
  NPD (past)
• Julia C Reed

  • Internal Medicine Physician
  • Woodbridge, VA
  • NPI 1720938574

  Single Specialty

  NPD (past)
• Monica Taylor, NP

  • Adult Health Nurse Practitioner
  • Woodbridge, VA
  • NPI 1417289406
  NPD (past)

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1043699168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913306",
            "telephone_number": "703-494-4116",
            "fax_number": "703-497-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913306",
            "telephone_number": "703-494-4116",
            "fax_number": "703-497-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBRIDGE PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "NIZAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "703-499-9144",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101225617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodbridge Internal Medicine, PC
• Woodbridge Optometrists, Inc
• Woodbridge Pediatrics LTD
• Woodbridge Periodontal & Implant Center PLLC
• Woodbridge Pharmacy
• Woodbridge Psychological Associates, P.C.
• Woodbridge SH Lessee, LLC
• Woodbridge Therapy Group LLC
• Diamond-Essence Aleya Woodhouse
• John Alexander Woods

• Internal Medicine Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.