Organization Active NPI

Nova Orthopedic & Spine Care, PC

  • Specialist
  • Woodbridge, VA
National Provider Identifier
1457450918
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NOVA ORTHOPEDIC & SPINE CARE, PC
Practice address
2028 Opitz Blvd
Suite B
Woodbridge, VA 22191-3306
Phone
(703) 490-1112
Fax
(703) 490-8064
NPI assigned
Sep 21, 2006
Last updated
Jan 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Paymaun M Lotfi, MDNPI 1801993852
Title
Owner
Phone
(703) 490-1112

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
Specialist 174400000X Primary

Addresses

Primary practice location

2028 Opitz Blvd
Suite B
Woodbridge, VA 22191-3306

Mailing address

14605 Potomac Branch Dr
Suite 300
Woodbridge, VA 22191-3336
Phone (703) 490-1112

National Provider Directory

National Provider Directory

Locations

14605 Potomac Branch Dr
#30
Woodbridge, VA 22191
Phone (703) 490-1112

Practitioners & affiliated clinicians

Practitioners 2

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1457450918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14605 POTOMAC BRANCH DR",
            "address_2": "SUITE 300",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913336",
            "telephone_number": "703-490-1112",
            "fax_number": "703-878-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 OPITZ BLVD",
            "address_2": "SUITE B",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913306",
            "telephone_number": "703-490-1112",
            "fax_number": "703-490-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA ORTHOPEDIC & SPINE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "LOTFI",
        "authorized_official_first_name": "PAYMAUN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-490-1112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.