NPIMap

Organization Active NPI

Gastroenteroloy Associates of Northern Virginia, LTD.

  • Specialist
  • Fairfax, VA
National Provider Identifier
1568508414
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
226194 Issued in NY
Legal business name
GASTROENTEROLOY ASSOCIATES OF NORTHERN VIRGINIA, LTD.
Practice address
3022 Williams Dr
Ste. 301
Fairfax, VA 22031-4600
Phone
(703) 698-9860
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dean Snively
Title
Practice Administrator
Phone
(703) 716-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 226194 NY Primary

Addresses

Primary practice location

3022 Williams Dr
Ste. 301
Fairfax, VA 22031-4600

Mailing address

12 East 86TH St.
Ste. 1008
New York, NY 10028

National Provider Directory

National Provider Directory
Tax ID family
Gastro Assoc of N VA LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568508414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 EAST 86TH ST.",
            "address_2": "STE. 1008",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 WILLIAMS DR",
            "address_2": "STE. 301",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314600",
            "telephone_number": "703-698-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOY ASSOCIATES OF NORTHERN VIRGINIA, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNIVELY",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "703-716-8700"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "226194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.