Organization Active NPI

Novus Pain Management-Virginia LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Falls Church, VA
National Provider Identifier
1417500125
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
NOVUS PAIN MANAGEMENT-VIRGINIA LLC
Practice address
700 W Broad St
Falls Church, VA 22046-3219
Phone
(301) 722-0484
Fax
(833) 903-0130
NPI assigned
Jul 22, 2019
Last updated
Jun 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Mr. Heather Robosson
Title
Practice Manager
Phone
(240) 727-3995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X Primary

Addresses

Primary practice location

700 W Broad St
Falls Church, VA 22046-3219

Mailing address

157 Baltimore St
Cumberland, MD 21502-2472
Phone (301) 722-0484

National Provider Directory

National Provider Directory

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": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1417500125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BALTIMORE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022472",
            "telephone_number": "301-722-0484",
            "fax_number": "833-903-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W BROAD ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463219",
            "telephone_number": "301-722-0484",
            "fax_number": "833-903-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUS PAIN MANAGEMENT-VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "ROBOSSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "240-727-3995",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.