Organization Active NPI

Julio a Dejo MD PC

  • Internal Medicine Physician
  • Burke, VA
National Provider Identifier
1467711366
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101029979 Issued in VA
Legal business name
JULIO A DEJO MD PC
Practice address
8998 Fern Park Dr.
Burke, VA 22015
Phone
(703) 323-1263
Fax
(703) 323-1263
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Julio A. Dejo, M.D.
Title
Medical Doctor
Phone
(703) 323-1263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101029979 VA Primary

Addresses

Primary practice location

8998 Fern Park Dr.
Burke, VA 22015

Mailing address

8998 Fern Park Dr
Burke, VA 22015
Phone (703) 323-1263

National Provider Directory

National Provider Directory

Locations

8998 Fern Park Dr
Burke, VA 22015
Phone (703) 323-1263

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1467711366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8998 FERN PARK DR",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "22015",
            "telephone_number": "703-323-1263",
            "fax_number": "703-323-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8998 FERN PARK DR.",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "22015",
            "telephone_number": "703-323-1263",
            "fax_number": "703-323-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO A DEJO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "DEJO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "703-323-1263",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101029979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.