Organization Active NPI

Nova Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Bristow, VA
National Provider Identifier
1265357511
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NOVA MEDICAL SUPPLY LLC
Practice address
8313 Old Sonoma PL
Bristow, VA 20136-5117
Phone
(703) 656-0245
NPI assigned
Aug 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Rukhsana Fayyaz
Title
Manager
Phone
(703) 656-0245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8313 Old Sonoma PL
Bristow, VA 20136-5117

Mailing address

8313 Old Sonoma PL
Bristow, VA 20136-5117
Phone (703) 656-0245

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1265357511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8313 OLD SONOMA PL",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201365117",
            "telephone_number": "703-656-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8313 OLD SONOMA PL",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201365117",
            "telephone_number": "703-656-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "FAYYAZ",
        "authorized_official_first_name": "RUKHSANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-656-0245"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristow, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.