Active NPI
Essnv Surgical Suites LLC
- Ambulatory Surgical Clinic/Center
- Fairfax, VA
National Provider Identifier
1326766221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ESSNV SURGICAL SUITES LLC
- Practice address
- 3998 Fair Ridge Dr
Fairfax, VA 22033-2907 - Phone
- (571) 349-2191
- NPI assigned
- Aug 16, 2022
- 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
- Ari Richard
- Title
- Biller
- Phone
- (571) 349-2191
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary | ||
| Ophthalmologic Surgery Clinic/Center | 261QS0132X |
Addresses
Primary practice location
3998 Fair Ridge Dr
Fairfax, VA 22033-2907
Mailing address
3998 Fair Ridge Dr
Fairfax, VA 22033-2907
Phone (571) 349-2191
National Provider Directory
National Provider DirectoryLocations
3998 Fair Ridge Dr
Fairfax, VA 22033
Phone (571) 349-2191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686182400000",
"number": "1326766221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3998 FAIR RIDGE DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332907",
"telephone_number": "571-349-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3998 FAIR RIDGE DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332907",
"telephone_number": "571-349-2191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSNV SURGICAL SUITES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-16",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A",
"authorized_official_last_name": "RICHARD",
"authorized_official_first_name": "ARI",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "571-349-2191"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QS0132X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ophthalmologic Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.