Active NPI
Marjan Yousefi, M.D., P.C.
- Dermatology Physician
- Vienna, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101243049
- Legal business name
- MARJAN YOUSEFI, M.D., P.C.
- Practice address
- 8100 Boone Blvd
Suite 250
Vienna, VA 22182-2665 - Phone
- (703) 255-5070
- Fax
- (703) 525-5802
- NPI assigned
- Dec 30, 2008
- Last updated
- Sep 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marjan Yousefi, M.D.
- Title
- President
- Phone
- (703) 255-5070
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101243049 | VA | Primary |
Addresses
Primary practice location
8100 Boone Blvd
Suite 250
Vienna, VA 22182-2665
Mailing address
8100 Boone Blvd
Suite 250
Vienna, VA 22182-2665
Phone (703) 255-5070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2300 N Pershing Dr
Ste 204
Arlington, VA 22201
Phone (703) 255-5070
502 Maple Ave W
Vienna, VA 22180
Phone (703) 255-4922
8230 Boone Blvd
Ste 430
Vienna, VA 22182
Phone (202) 361-7871
Practitioners & affiliated clinicians
Practitioners 3
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": "1230595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317081600000",
"number": "1619113388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 BOONE BLVD",
"address_2": "SUITE 250",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822665",
"telephone_number": "703-255-5070",
"fax_number": "703-525-5802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 BOONE BLVD",
"address_2": "SUITE 250",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822665",
"telephone_number": "703-255-5070",
"fax_number": "703-525-5802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARJAN YOUSEFI, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-30",
"last_updated": "2011-09-27",
"status": "A",
"authorized_official_last_name": "YOUSEFI",
"authorized_official_first_name": "MARJAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-255-5070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101243049",
"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 Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.