Jason J Condino, MD

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

0101252585 Issued in VA

Practice address

1550 Tomcat Blvd
Nas Oceana Branch Health Clinic
Virginia Beach, VA 23460-2188

Phone

(577) 953-3835

NPI assigned

Jun 28, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1346536489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 TOMCAT BLVD",
            "address_2": "NAS OCEANA BRANCH HEALTH CLINIC",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234602188",
            "telephone_number": "757-953-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 TOMCAT BLVD",
            "address_2": "NAS OCEANA BRANCH HEALTH CLINIC",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234602188",
            "telephone_number": "577-953-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDINO",
        "first_name": "JASON",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "VA",
            "license": "0101252585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.