Active NPI
Gastroenterology Associates of Northern Virginia, LLC
- Gastroenterology Physician
- Fairfax, VA
National Provider Identifier
1053096461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC
- Practice address
- 3028 Javier Rd Ste 300
Fairfax, VA 22031-4622 - Phone
- (703) 698-8960
- Fax
- (703) 828-0961
- NPI assigned
- Jun 21, 2023
- Organization subpart
- Yes
- Parent organization
- GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan Oliver, CEO
- Title
- Ceo
- Phone
- (786) 530-3820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
3028 Javier Rd Ste 300
Fairfax, VA 22031-4622
Mailing address
9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Phone (703) 698-8960
Other names 1
- Virginia Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Gastro Assoc of N VA LLC
- Part of
- Gastro Assoc of N VA LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Fairfax, VA
- NPI 1578341780
-
- Non-Pharmacy Dispensing Site
- Fairfax, VA
- NPI 1629758180
-
- Specialist
- Fairfax, VA
- NPI 1568508414
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Gastroenterology Physician
- Fairfax, VA
- NPI 1205884368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747267200000",
"number": "1053096461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 S DADELAND BLVD STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331562866",
"telephone_number": "703-698-8960",
"fax_number": "703-828-0961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3028 JAVIER RD STE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314622",
"telephone_number": "703-698-8960",
"fax_number": "703-828-0961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC",
"enumeration_date": "2023-06-21",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A",
"authorized_official_last_name": "OLIVER",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "786-530-3820",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Virginia Pharmacy",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Virginia Pharmacy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fairfax, VA
- Sarah Mae Gary, LPC
- Sandra Marie Garza, LCSW
- Greg E Gaski, MD
- Stephen Gassaway
- Gastro Virginia LLC
- Gastroenterology Associates of Northern Virginia, LLC
- Gastroenterology Associates of Northern Virginia, LLC
- Gastroenterology Associates of Northern Virginia, LLC
- Gastroenterology Consultants of Northern Virginia PLC
- Gastroenteroloy Associates of Northern Virginia, LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.