Individual provider Active NPI

Emily Kuzoian

  • Physician Assistant
  • Oakton, VA
National Provider Identifier
1215748843
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110010556 Issued in VA
Practice address
2970 Chain Bridge Rd
Oakton, VA 22124-3037
Phone
(703) 574-7510
NPI assigned
Jan 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110010556 VA Primary

Addresses

Primary practice location

2970 Chain Bridge Rd
Oakton, VA 22124-3037

Mailing address

12202 Kyler LN
Herndon, VA 20171-1624
Phone (860) 463-8613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250523000746 DC Practitioner - Physician Assistant 8123547023 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110010556VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Dermatology of Fairfax, LLC PastSince Jan 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1215748843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12202 KYLER LN",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201711624",
            "telephone_number": "860-463-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 CHAIN BRIDGE RD",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221243037",
            "telephone_number": "703-574-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZOIAN",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110010556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakton, VA

Sources for this page

Verify at the official NPI Registry.