Active NPI
North Eastern Virginia Medical, PLLC
- Internal Medicine Physician
- Alexandria, VA
National Provider Identifier
1245556778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101245174
- Legal business name
- NORTH EASTERN VIRGINIA MEDICAL, PLLC
- Practice address
- 4660 Kenmore Ave
Suite 600
Alexandria, VA 22304-1313 - Phone
- (703) 303-2806
- Fax
- (703) 532-1615
- NPI assigned
- Apr 8, 2010
- Last updated
- Apr 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sahba Yasin
- Title
- President/Ownder
- Phone
- (703) 303-2806
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101245174 | VA | Primary |
Addresses
Primary practice location
4660 Kenmore Ave
Suite 600
Alexandria, VA 22304-1313
Mailing address
2122 McConvey PL
Falls Church, VA 22043-3068
Phone (703) 303-2806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568432987 | Other | PROVIDER INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Cardiac Electrophysiology Physician
- Arlington, VA
- NPI 1578542841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270684800000",
"number": "1245556778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 MCCONVEY PL",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220433068",
"telephone_number": "703-303-2806",
"fax_number": "703-532-1615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE",
"address_2": "SUITE 600",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041313",
"telephone_number": "703-303-2806",
"fax_number": "703-532-1615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH EASTERN VIRGINIA MEDICAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-08",
"last_updated": "2010-04-08",
"status": "A",
"authorized_official_last_name": "YASIN",
"authorized_official_first_name": "SAHBA",
"authorized_official_title_or_position": "PRESIDENT/OWNDER",
"authorized_official_telephone_number": "703-303-2806",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101245174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER INDIVIDUAL NPI",
"identifier": "1568432987",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
- Adil Noman
- Mary Alessandra Noone
- Nora D. Jose, MD
- Ashley Norman
- Angelina Nortey, PHD
- Northern Virginia Allergy and Asthma Associates, P.C.
- Northern Virginia Audiology Doctors (Alexandria Hearing Studio)
- Northern Virginia Family Dental LLC (Alexandria Dental Care Center)
- Northern Virginia Gastroenterology and Hepatology
- Northern Virginia Gynecologists Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.