Organization Active NPI

Nova Medical Center, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Reston, VA
National Provider Identifier
1518301035
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
0101251222 Issued in VA
Legal business name
NOVA MEDICAL CENTER, PC
Doing business as
Virginia Pain & Wellness
Practice address
1800 Town Center Dr
Suite 315B
Reston, VA 20190-3215
Phone
(571) 926-8918
Fax
(703) 342-0360
NPI assigned
Apr 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Sue H Bedi, D.C.NPI 1700110699
Title
President
Phone
(571) 926-8918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 0104556266 VA
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 0104556915 VA
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 0101251222 VA Primary

Addresses

Primary practice location

1800 Town Center Dr
Suite 315B
Reston, VA 20190-3215

Mailing address

1800 Town Center Dr
Suite 315B
Reston, VA 20190-3215
Phone (571) 926-8918

Other names 1

  • Virginia Pain & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1800 Town Center Dr
#315B
Reston, VA 20190
Phone (571) 926-8918

1800 Town Center Dr
Ste 315B
Reston, VA 20190
Phone (571) 926-8918

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1518301035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR",
            "address_2": "SUITE 315B",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903215",
            "telephone_number": "571-926-8918",
            "fax_number": "703-342-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR",
            "address_2": "SUITE 315B",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903215",
            "telephone_number": "571-926-8918",
            "fax_number": "703-342-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "BEDI",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-926-8918",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556266",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556915",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0101251222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Pain & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.