Tobin S Naidorf MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101043875 Issued in VA

Legal business name

TOBIN S NAIDORF MD PLLC

Practice address

7910 Andrus Rd
#6
Alexandria, VA 22306-3171

Phone

(703) 799-1688

Fax

(703) 799-4092

NPI assigned

May 3, 2007

Last updated

May 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tobin S Naidorf, MD

Title

Proprietor

Phone

(703) 799-1688

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1164644779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 ANDRUS RD",
            "address_2": "#6",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063171",
            "telephone_number": "703-799-1688",
            "fax_number": "703-799-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 ANDRUS RD",
            "address_2": "#6",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063171",
            "telephone_number": "703-799-1688",
            "fax_number": "703-799-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBIN S NAIDORF MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "NAIDORF",
        "authorized_official_first_name": "TOBIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "703-799-1688",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101043875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457306318",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006043003",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "181852",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.