NPIMap

Organization Active NPI

Aesthetic & Laser Plastic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Vienna, VA
National Provider Identifier
1588095525
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
56390-MD Issued in VA
Legal business name
AESTHETIC & LASER PLASTIC SURGERY CENTER
Practice address
502 Maple Ave W
Vienna, VA 22180-4239
Phone
(703) 255-4922
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Dr. Jamal YousefiNPI 1699165753
Title
Director
Phone
(703) 255-4922

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 56390-MD VA Primary

Addresses

Primary practice location

502 Maple Ave W
Vienna, VA 22180-4239

Mailing address

502 Maple Ave, West
Vienna, VA 22180
Phone (703) 255-4922

National Provider Directory

National Provider Directory

Locations

502 Maple Ave W
Vienna, VA 22180
Phone (703) 255-4922

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": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1588095525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MAPLE AVE, WEST",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22180",
            "telephone_number": "703-255-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MAPLE AVE W",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804239",
            "telephone_number": "703-255-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC & LASER PLASTIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "YOUSEFI",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-255-4922",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "VA",
            "license": "56390-MD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.