NPIMap

Organization Active NPI

Nova Neurosciences LLC

  • Neurology Physician
  • Fairfax, VA
National Provider Identifier
1104300300
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NOVA NEUROSCIENCES LLC
Practice address
3022 Williams Dr Ste 100
Fairfax, VA 22031-4600
Phone
(703) 349-5223
Fax
(703) 562-7966
NPI assigned
Sep 24, 2018
Last updated
Sep 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Authorized official

Name
Danial Jay McDoanld
Title
Cfo
Phone
(301) 573-2942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

3022 Williams Dr Ste 100
Fairfax, VA 22031-4600

Mailing address

3022 Williams Dr Ste 100
Fairfax, VA 22031-4600
Phone (703) 349-5223

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1104300300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 WILLIAMS DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314600",
            "telephone_number": "703-349-5223",
            "fax_number": "703-562-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 WILLIAMS DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314600",
            "telephone_number": "703-349-5223",
            "fax_number": "703-562-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA NEUROSCIENCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "MCDOANLD",
        "authorized_official_first_name": "DANIAL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-573-2942"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.