Jeffrey J Skovronsky, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

0101026587 Issued in VA

Practice address

8700 Sudley Rd
Manassas, VA 20110-4418

Phone

(703) 369-8484

NPI assigned

Aug 3, 2005

Last updated

Jan 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fairfax Pathology Associates, LTD.

  • Anatomic Pathology & Clinical Pathology Physician
  • Manassas, VA
  • NPI 1063438091
  NPD (past) Authorized official
• Prince William Pathology Associates, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Manassas, VA
  • NPI 1992019798
  NPD (past) Authorized official
• Fairfax Pathology Associates LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Falls Church, VA
  • NPI 1053311357
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232755200000",
    "number": "1417958299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221322",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201531322",
            "telephone_number": "703-691-2516",
            "fax_number": "703-691-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104418",
            "telephone_number": "703-369-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOVRONSKY",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2009-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101026587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1063438091",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006627137",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diljeet K Singh, MD
• Liliana Sins, BCBA-LBA
• Igor Sirotkin, M.D.
• Shonette Skeete
• Alexandra Skinner
• Sky Residiential Care Services LLC
• Mark R Slack, MD
• Simeon Charles Slayton II, MS
• Sleep Disorders CTRS of the Mid Atlantic LLC
• Sleepcare Inc.

• Anatomic Pathology & Clinical Pathology Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2009; 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.