Active NPI
Nova Pediatrics
- Pediatrics Physician
- Springfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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, 2020
- 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
- Dr. Laurence Seidman, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0223180 | Nova Pediatrics LTD | Provider-performed microscopy | Dec 22, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Nova Pediatrics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Woodbridge, VA
- NPI 1033224340
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.
-
- Pediatrics Physician
- Springfield, VA
- NPI 1629097092
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.