Organization Active NPI

Nova Pediatrics

  • Pediatrics Physician
  • Springfield, VA
National Provider Identifier
1396850699
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NOVA PEDIATRICS
Practice address
6120 Brandon Ave
Suite 308
Springfield, VA 22150-2522
Phone
(703) 451-3333
Fax
(703) 451-7219
NPI assigned
Aug 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Laurence Seidman, M.D.NPI 1629097092
Title
Managing Partner
Phone
(703) 451-3333

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
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

6120 Brandon Ave
Suite 308
Springfield, VA 22150-2522

Mailing address

6120 Brandon Ave
Suite 308
Springfield, VA 22150-2522
Phone (703) 451-3333

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0223180Nova Pediatrics LTD6120 Brandon Ave - Suite 308, Springfield, VA 22150Provider-performed microscopyDec 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Nova Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6120 Brandon Ave
Ste 308
Springfield, VA 22150
Phone (703) 451-3333

Practitioners & affiliated clinicians

Practitioners 1

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396850699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 BRANDON AVE",
            "address_2": "SUITE 308",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502522",
            "telephone_number": "703-451-3333",
            "fax_number": "703-451-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 BRANDON AVE",
            "address_2": "SUITE 308",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502522",
            "telephone_number": "703-451-3333",
            "fax_number": "703-451-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEIDMAN",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "703-451-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.