Nova Gynecology Associates LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101032425 Issued in VA

Legal business name

NOVA GYNECOLOGY ASSOCIATES LLC

Practice address

10400 Eaton PL Ste 515
Fairfax, VA 22030-2234

Phone

(703) 691-4141

Fax

(703) 783-0084

NPI assigned

Jun 18, 2008

Organization subpart

No

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

Authorized official

Name

Evelyn Kim

Title

Billing Manager

Phone

(703) 249-9079

Specialties & licenses 1

Addresses

Tax ID family

Nova Gynecology Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nova Gynecology Associates LLC

  • Specialist
  • Alexandria, VA
  • NPI 1578805636
  NPD tax ID

Practitioners 1

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

• Mi Yong Kim, MD

  • Gynecology Physician
  • Fairfax, VA
  • NPI 1154435063
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1124289699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8642 RESECA LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521411",
            "telephone_number": "703-249-9079",
            "fax_number": "703-249-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 EATON PL STE 515",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302234",
            "telephone_number": "703-691-4141",
            "fax_number": "703-783-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA GYNECOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "703-249-9079"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101032425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nova Concierge Medicine & Aesthetics
• Nova Diagnostics LLC
• Nova Endoscopy Center
• Nova Family Dentistry
• Nova Gonstead Chiropractic Clinic PLLC
• Nova Home Health Care, LLC
• Nova Internal Medicine Associates PC
• Nova Lifecare LLC Dba Evergrove Home Care
• Nova Medical Transport LLC
• Nova Neurosciences LLC

• Specialist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.