Organization Active NPI

Jay C Tyroler M.D.,P.C.

  • Internal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1124224514
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101049092 Issued in VA
Legal business name
JAY C TYROLER M.D.,P.C.
Practice address
3620 Joseph Siewick Dr
Suite 306
Fairfax, VA 22033-1756
Phone
(703) 264-0521
Fax
(703) 860-0229
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Jay Cary Tyroler, M.D.
Title
Principal Holder
Phone
(703) 264-0521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101049092 VA Primary

Addresses

Primary practice location

3620 Joseph Siewick Dr
Suite 306
Fairfax, VA 22033-1756

Mailing address

3620 Joseph Siewick Dr
Suite 306
Fairfax, VA 22033-1756
Phone (703) 264-0521

National Provider Directory

National Provider Directory

Locations

3650 Joseph Siewick Dr
Ste 306
Fairfax, VA 22033

3620 Joseph Siewick Dr
Ste 306
Fairfax, VA 22033
Phone (703) 264-0521

1830 Town Center Dr
Ste 103
Reston, VA 20190
Phone (703) 560-1146

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1124224514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR",
            "address_2": "SUITE 306",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331756",
            "telephone_number": "703-264-0521",
            "fax_number": "703-860-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR",
            "address_2": "SUITE 306",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331756",
            "telephone_number": "703-264-0521",
            "fax_number": "703-860-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY C TYROLER M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "TYROLER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "CARY",
        "authorized_official_title_or_position": "PRINCIPAL HOLDER",
        "authorized_official_telephone_number": "703-264-0521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101049092",
            "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 Jul 13, 2010; 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.