NPIMap

Organization Active NPI

Nova Training Center

  • Clinic/Center
  • Annandale, VA
National Provider Identifier
1144711615
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NOVA TRAINING CENTER
Practice address
4231 Markham St Ste 224
Annandale, VA 22003-3023
Phone
(703) 266-2220
NPI assigned
May 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Authorized official

Name
Soongil Shannen Park
Title
President
Phone
(703) 266-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X VA Primary

Addresses

Primary practice location

4231 Markham St Ste 224
Annandale, VA 22003-3023

Mailing address

4231 Markham St Ste 224
Annandale, VA 22003-3023
Phone (703) 266-2220

National Provider Directory

National Provider Directory

Locations

4231 Markham St
Ste 224
Annandale, VA 22003
Phone (703) 266-2220

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1144711615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 MARKHAM ST STE 224",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033023",
            "telephone_number": "703-266-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 MARKHAM ST STE 224",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033023",
            "telephone_number": "703-266-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA TRAINING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SOONGIL",
        "authorized_official_middle_name": "SHANNEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-266-2220"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.