Organization Active NPI

Robert S Enelow MD and Stuart Henochowicz MD PC

  • Allergy Physician
  • Burke, VA
National Provider Identifier
1376635003
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
0101042350 Issued in VA
Legal business name
ROBERT S ENELOW MD AND STUART HENOCHOWICZ MD PC
Practice address
6035 Burke Centre Pkwy
Suite 120
Burke, VA 22015-3750
Phone
(703) 425-6010
Fax
(703) 425-7504
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Shelley Kreitman
Title
Manager
Phone
(703) 425-7550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X 0101042350 VA Primary

Addresses

Primary practice location

6035 Burke Centre Pkwy
Suite 120
Burke, VA 22015-3750

Mailing address

6035 Burke Centre Pkwy
Suite 120
Burke, VA 22015-3750
Phone (703) 425-6010

Other identifiers 1

IdentifierTypeStateIssuer
595284OtherPTAN

Other names 1

  • Internal Medicine & Allergy Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1376635003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 BURKE CENTRE PKWY",
            "address_2": "SUITE 120",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153750",
            "telephone_number": "703-425-6010",
            "fax_number": "703-425-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 BURKE CENTRE PKWY",
            "address_2": "SUITE 120",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153750",
            "telephone_number": "703-425-6010",
            "fax_number": "703-425-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S ENELOW MD AND STUART HENOCHOWICZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "KREITMAN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-425-7550"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "VA",
            "license": "0101042350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "595284",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine & Allergy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.