Active NPI
Woodburn Endoscopy Center, PLLC
- Legal Medicine
- Annandale, VA
National Provider Identifier
1477694396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- Legal business name
- WOODBURN ENDOSCOPY CENTER, PLLC
- Practice address
- 3301 Woodburn Rd
Suite 109
Annandale, VA 22003-1229 - Phone
- (703) 752-2557
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stafford S Goldstein, M. D.
- Title
- Physician
- Phone
- (703) 876-0437
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | VA | Primary |
Addresses
Primary practice location
3301 Woodburn Rd
Suite 109
Annandale, VA 22003-1229
Mailing address
3301 Woodburn Rd
Suite 109
Annandale, VA 22003-1229
Phone (703) 752-2557
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1060652 | Woodburn Endoscopy Center | Certificate of waiver | Oct 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
3301 Woodburn Rd
Ste 109
Annandale, VA 22003
Phone (703) 752-2557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477694396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 WOODBURN RD",
"address_2": "SUITE 109",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220031229",
"telephone_number": "703-752-2557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 WOODBURN RD",
"address_2": "SUITE 109",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220031229",
"telephone_number": "703-752-2557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODBURN ENDOSCOPY CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "STAFFORD",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "703-876-0437",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.