Organization Active NPI

Prince William Pediatric Care Inc.

  • Pediatrics Physician
  • Manassas, VA
National Provider Identifier
1598096091
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PRINCE WILLIAM PEDIATRIC CARE INC.
Practice address
8701 Stonewall Rd
Unit 1a
Manassas, VA 20110-8326
Phone
(703) 257-9878
Fax
(703) 257-9772
NPI assigned
Jan 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Dr. Sheikh M Hossain, M.D.,FAAP
Title
President
Phone
(703) 257-9878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

8701 Stonewall Rd
Unit 1a
Manassas, VA 20110-8326

Mailing address

8701 Stonewall Rd
Unit 1a
Manassas, VA 20110-8326
Phone (703) 257-9878

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1042283Prince William Pediatric Care, Inc8701 Stonewall Road - Unit 1a, Manassas, VA 20110Certificate of waiverJun 22, 2027

National Provider Directory

National Provider Directory

Locations

8701 Stonewall Rd
Ste 1A
Manassas, VA 20110
Phone (703) 257-9878

Practitioners & affiliated clinicians

Practitioners 3

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": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1598096091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 STONEWALL RD",
            "address_2": "UNIT 1A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108326",
            "telephone_number": "703-257-9878",
            "fax_number": "703-257-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 STONEWALL RD",
            "address_2": "UNIT 1A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108326",
            "telephone_number": "703-257-9878",
            "fax_number": "703-257-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE WILLIAM PEDIATRIC CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "HOSSAIN",
        "authorized_official_first_name": "SHEIKH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-257-9878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,FAAP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.