Organization Active NPI

Manassas Neurology Associates PLLC

  • Neurology Physician
  • Manassas, VA
National Provider Identifier
1376618132
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101036899 Issued in VA
Legal business name
MANASSAS NEUROLOGY ASSOCIATES PLLC
Practice address
8650 Sudley Rd Ste 309
Manassas, VA 20110-4416
Phone
(703) 366-2799
Fax
(703) 366-2801
NPI assigned
Nov 21, 2006
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Dr. Jonathan Robert Amy, MDNPI 1245237718
Title
Principal Member
Phone
(703) 366-2799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101036899 VA Primary

Addresses

Primary practice location

8650 Sudley Rd Ste 309
Manassas, VA 20110-4416

Mailing address

8650 Sudley Rd Ste 309
Manassas, VA 20110-4416
Phone (703) 366-2799

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1376618132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 SUDLEY RD STE 309",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104416",
            "telephone_number": "703-366-2799",
            "fax_number": "703-366-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 SUDLEY RD STE 309",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104416",
            "telephone_number": "703-366-2799",
            "fax_number": "703-366-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASSAS NEUROLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "AMY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRINCIPAL MEMBER",
        "authorized_official_telephone_number": "703-366-2799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101036899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.