Organization Active NPI

New Flower LLC

  • Primary Care Clinic/Center
  • Alexandria, VA
National Provider Identifier
1063740199
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101055711 Issued in VA
Legal business name
NEW FLOWER LLC
Practice address
50 South Pickett St
Alexandria, VA 22304
Phone
(703) 370-2300
NPI assigned
Dec 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Melaku Ayalew, M.D.NPI 1679759088
Title
Ceo
Phone
(703) 200-5422

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
Primary Care Clinic/Center 261QP2300X 0101055711 VA Primary

Addresses

Primary practice location

50 South Pickett St
Alexandria, VA 22304

Mailing address

8439 Lake Mist Way
Fairfax Station, VA 22039-2676
Phone (703) 646-5500

Other identifiers 2

IdentifierTypeStateIssuer
0101055711OtherVADEPARTMENT OF HEALTH PROFESSIONS
D0052560OtherMDMARYLAND BOARD OF PHYSCIANS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1063740199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8439 LAKE MIST WAY",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392676",
            "telephone_number": "703-646-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SOUTH PICKETT ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22304",
            "telephone_number": "703-370-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW FLOWER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "AYALEW",
        "authorized_official_first_name": "MELAKU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-200-5422",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101055711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "0101055711",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF PHYSCIANS",
            "identifier": "D0052560",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.