Organization Active NPI

Little Neck Medical Center, Inc

  • Internal Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1508176355
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101245150 Issued in VA
Legal business name
LITTLE NECK MEDICAL CENTER, INC
Practice address
3500 Virginia Beach Blvd
Suite 100
Virginia Beach, VA 23452-4445
Phone
(757) 831-5349
NPI assigned
Oct 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Faiq Hasan
Title
President
Phone
(757) 831-5349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101245150 VA Primary

Addresses

Primary practice location

3500 Virginia Beach Blvd
Suite 100
Virginia Beach, VA 23452-4445

Mailing address

3500 Virginia Beach Blvd
Suite 100
Virginia Beach, VA 23452-4445
Phone (757) 831-5349

National Provider Directory

National Provider Directory

Locations

3500 Virginia Beach Blvd
#1
Virginia Beach, VA 23452
Phone (757) 502-8966

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1508176355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 VIRGINIA BEACH BLVD",
            "address_2": "SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524445",
            "telephone_number": "757-831-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 VIRGINIA BEACH BLVD",
            "address_2": "SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524445",
            "telephone_number": "757-831-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE NECK MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "FAIQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-831-5349"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101245150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.