Annandale Pediatric Assoc Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

41850 Issued in VA

Legal business name

ANNANDALE PEDIATRIC ASSOC INC

Practice address

7501 Little River TNPK
#202
Annandale, VA 22003

Phone

(703) 256-7200

Fax

(703) 658-0393

NPI assigned

Mar 16, 2006

Organization subpart

No

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

Authorized official

Name

Ahmad Ellini, MD

Title

President

Phone

(703) 256-7200

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Susan Jane Argyle, MD

  • Pediatrics Physician
  • Annandale, VA
  • NPI 1649817636
  NPD (past)
• Carole Rashid, F.N.P.

  • Family Nurse Practitioner
  • Arlington, VA
  • NPI 1881000784
  NPD (past)
• Ruth Laarni Cedro Sunga-Lorico, MD

  • Pediatrics Physician
  • Annandale, VA
  • NPI 1437103165
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174592745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 LITTLE RIVER TNPK",
            "address_2": "#202",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "703-256-7200",
            "fax_number": "703-658-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 LITTLE RIVER TNPK",
            "address_2": "#202",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "703-256-7200",
            "fax_number": "703-658-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNANDALE PEDIATRIC ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLINI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-256-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "41850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genitra Andrews-Hypolite, PT,MPT
• Nina Franco Angeles, LPC, NCC
• Annandale Family Medicine, P.C.
• Annandale Gerontology Clinic
• Annandale OB GYN
• Annandale Spine Physicians, Inc.
• Annandale VA Opco LLC
• Annapath of Virginia Inc.
• Aom Clinic LLC
• Apheresis Associates of Northern Virginia, LLC

• Pediatrics Physician in Annandale, VA
• Providers in Annandale, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.