Reston Ear Nose and Throat PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0101236481 Issued in VA

Legal business name

RESTON EAR NOSE AND THROAT PC

Practice address

1860 Town Center Dr
Suite 335
Reston, VA 20190-5896

Phone

(703) 787-3322

Fax

(703) 787-3380

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edwin J Lee, M.D.NPI 1992817605

Title

President

Phone

(703) 787-3322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edwin J Lee, M.D.

  • Otolaryngology Physician
  • Reston, VA
  • NPI 1992817605

  DC

  Medicare reassignment Care Compare group Authorized official
• Nicole Juliette Battle, MD

  • Otolaryngology Physician
  • Reston, VA
  • NPI 1538574058

  DC

  Medicare reassignment Care Compare group NPD
• Ariana Braganza, AUD

  • Audiologist
  • Reston, VA
  • NPI 1558046672

  DC

  Medicare reassignment Care Compare group NPD
• William Powell Kennedy, M.D.

  • Otolaryngology Physician
  • Reston, VA
  • NPI 1558723320

  DC

  Medicare reassignment Care Compare group NPD
• Rachel Moldenhauer, AU.D.

  • Audiologist
  • Reston, VA
  • NPI 1326777848

  DC

  Medicare reassignment Care Compare group NPD
• Michelle Wu

  • Audiologist-Hearing Aid Fitter
  • Reston, VA
  • NPI 1689529109

  DC

  Medicare reassignment Care Compare group NPD
• Daniel Hwang, M.D.

  • Otolaryngology Physician
  • Reston, VA
  • NPI 1184678856

  DC

  Medicare reassignment Care Compare group
• Nilofar Ariasaif, PA-C

  • Physician Assistant
  • Woodbridge, VA
  • NPI 1295356145
  Medicare reassignment
• Priscilla Khai-Linh Nguyen

  • Physician Assistant
  • Reston, VA
  • NPI 1023704053

  DC

  Medicare reassignment
• Matthew M Chu, MD

  • Student in an Organized Health Care Education/Training Program
  • Cincinnati, OH
  • NPI 1639758881

  DC

  Medicare reassignment
• So Young Kim, PA-C

  • Physician Assistant
  • High Point, NC
  • NPI 1194448175

  DC

  Medicare reassignment
• Hannah Kim, AU.D., CCC-A

  • Audiologist
  • Reston, VA
  • NPI 1811276991
  NPD

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1508961087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "address_2": "SUITE 335",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905896",
            "telephone_number": "703-787-3322",
            "fax_number": "703-787-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "address_2": "SUITE 335",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905896",
            "telephone_number": "703-787-3322",
            "fax_number": "703-787-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTON EAR NOSE AND THROAT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-787-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101236481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reston Center for Learning, LLC
• Reston Chiropractic Group LLC
• Reston Chiropractic, Inc.
• Reston Dental Care PC
• Reston Dental Group, PC
• Reston Endodontics, PLLC
• Reston Endoscopy Center
• Reston Express LLC
• Reston Eye Associates
• Reston Family & Cosmetic Dentistry

• Otolaryngology Physician in Reston, VA
• Providers in Reston, VA by specialty
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.