Maarij Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

0101230245 Issued in VA

Legal business name

MAARIJ INC

Practice address

1860 Town Center Dr
Suite 320
Reston, VA 20190-5896

Phone

(703) 348-7207

Fax

(703) 435-1844

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Ishtiaq Ahmad, M.D.

Title

Ceo

Phone

(703) 348-7207

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sunnyview Neurology Practice Doing business as

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1124065487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "address_2": "SUITE 320",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905896",
            "telephone_number": "703-348-7207",
            "fax_number": "703-435-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "address_2": "SUITE 320",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905896",
            "telephone_number": "703-348-7207",
            "fax_number": "703-435-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAARIJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "ISHTIAQ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-348-7207",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101230245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010358906",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF VA",
            "identifier": "248660",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnyview Neurology Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Lutz
• Jeffrey S. Luy, M.D.
• Lauren C Lynch
• Lynne J. Ganz, Otr/L, Inc.
• M Karim Ali MD Facs PC
• Khadija Macaully
• Allison Maciorowski Stellatos, LPC
• Larry C Mack-Wilson, P.A.
• Shakia Mackey, LPC
• Leslie Bones Maclay, BSPHARM

• Neurology Physician in Reston, VA
• Providers in Reston, VA by specialty
• Neurology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.