Tahayya a.M Ansari

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

TAHAYYA A.M ANSARI

Practice address

700 24TH St
Fort Lee, VA 23801-1716

Phone

(804) 734-9942

Fax

(804) 734-1008

NPI assigned

Jan 4, 2006

Reactivated

Aug 31, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Tahayya A M Ansari, PA

Title

Medical

Phone

(804) 734-6262

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1265410807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 24TH ST",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "238011716",
            "telephone_number": "804-734-9942",
            "fax_number": "804-734-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 24TH ST",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "238011716",
            "telephone_number": "804-734-9942",
            "fax_number": "804-734-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHAYYA A.M ANSARI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2011-05-09",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "TAHAYYA",
        "authorized_official_middle_name": "A M",
        "authorized_official_title_or_position": "MEDICAL",
        "authorized_official_telephone_number": "804-734-6262",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Fort Lee, VA
• Providers in Fort Lee, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.