Organization Active NPI

Niyan Medspa LLC

Doing business as Niyan Medical

  • Internal Medicine Physician
  • Leesburg, VA
National Provider Identifier
1427837806
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NIYAN MEDSPA LLC
Doing business as
Niyan Medical
Practice address
450 Madison Trade Plaza SE
Leesburg, VA 20175
Phone
(703) 814-6232
Fax
(888) 647-3822
NPI assigned
Sep 26, 2023
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Dr. Kajal Roy, MDNPI 1013246008
Title
MD/Owner
Phone
(917) 753-9373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

450 Madison Trade Plaza SE
Leesburg, VA 20175

Mailing address

450 Madison Trade Plaza SE
Leesburg, VA 20175
Phone (703) 814-6232

Other names 1

  • Niyan Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231117000662 VA Part B Supplier - Clinic/Group Practice 8628425386 Receives reassigned benefits from 1 practitioner
Practice locations: Leesburg, VA

National Provider Directory

National Provider Directory

Locations

21001 Sycolin Rd
Ste 220
Ashburn, VA 20147
Phone (571) 207-8680

450 Madison Trade Plz SE
Leesburg, VA 20175
Phone (703) 814-6232

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": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1427837806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MADISON TRADE PLAZA SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20175",
            "telephone_number": "703-814-6232",
            "fax_number": "888-647-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MADISON TRADE PLAZA SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20175",
            "telephone_number": "703-814-6232",
            "fax_number": "888-647-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIYAN MEDSPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2024-10-02",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "KAJAL",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "917-753-9373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Niyan Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.