Javan Anti Aging and Wellness Institute

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JAVAN ANTI AGING AND WELLNESS INSTITUTE

Practice address

1626 U St NW
Washington, DC 20009

Phone

(202) 868-5993

NPI assigned

Nov 6, 2018

Organization subpart

No

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

Authorized official

Name

Corinne A Parent, PHLEBOTOMIST

Title

IV Infusion Therapy

Phone

(301) 509-5557

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1124596317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 U ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200096210",
            "telephone_number": "202-868-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 U ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20009",
            "telephone_number": "202-868-5993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Northview Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207162604",
            "country_code": "US",
            "telephone_number": "410-800-4466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 Northview Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207162604",
            "country_code": "US",
            "telephone_number": "410-800-4466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAVAN ANTI AGING AND WELLNESS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "PARENT",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "IV INFUSION THERAPY",
        "authorized_official_telephone_number": "301-509-5557",
        "authorized_official_credential": "PHLEBOTOMIST"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D0076873",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jahni Jatta
• Elvis Shey Jatto
• Karan Jatwani, MD
• Tani B Jausurawong Wiest, DO
• Basit Javaid, M.D.
• Arzhang Cyrus Javan, M.D.
• Hadi Hudson Javan, MD
• Ramin Javan, M.D.
• Nezam Javanmardi, D.C.
• Hasan Javed

• Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.