Organization Active NPI

JC Wadhwa PC

  • Obstetrics & Gynecology Physician
  • Ashburn, VA
National Provider Identifier
1598782252
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101239093 Issued in VA
Legal business name
JC WADHWA PC
Practice address
20925 Professional PLZ
Suite 100
Ashburn, VA 20147-3403
Phone
(703) 724-4000
Fax
(703) 724-4017
NPI assigned
Jul 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Jagdish Wadhwa, MDNPI 1730106493
Title
President
Phone
(703) 724-4000

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
Obstetrics & Gynecology Physician 207V00000X 0101239093 VA Primary

Addresses

Primary practice location

20925 Professional PLZ
Suite 100
Ashburn, VA 20147-3403

Mailing address

PO Box 4359
Leesburg, VA 20177-8461
Phone (703) 724-4000

National Provider Directory

National Provider Directory

Locations

20925 Professional Plz
Ste 100
Ashburn, VA 20147
Phone (703) 652-0966

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598782252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4359",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201778461",
            "telephone_number": "703-724-4000",
            "fax_number": "703-724-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20925 PROFESSIONAL PLZ",
            "address_2": "SUITE 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473403",
            "telephone_number": "703-724-4000",
            "fax_number": "703-724-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC WADHWA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WADHWA",
        "authorized_official_first_name": "JAGDISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-724-4000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101239093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, 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.