Active NPI
Richard J Hwang MD PC
- Dermatology Physician
- Woodbridge, VA
National Provider Identifier
1629090501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101041789
- Legal business name
- RICHARD J HWANG MD PC
- Practice address
- 2022 Opitz Blvd
Suite a
Woodbridge, VA 22191-3306 - Phone
- (703) 490-6500
- Fax
- (703) 490-4564
- NPI assigned
- Jul 23, 2006
- 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
- Richard John Hwang, M.D.
- Title
- President
- Phone
- (703) 490-6500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101041789 | VA | Primary |
Addresses
Primary practice location
2022 Opitz Blvd
Suite a
Woodbridge, VA 22191-3306
Mailing address
2022 Opitz Blvd
Suite a
Woodbridge, VA 22191-3306
Phone (703) 490-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901031 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349222400000",
"number": "1629090501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2022 OPITZ BLVD",
"address_2": "SUITE A",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913306",
"telephone_number": "703-490-6500",
"fax_number": "703-490-4564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2022 OPITZ BLVD",
"address_2": "SUITE A",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913306",
"telephone_number": "703-490-6500",
"fax_number": "703-490-4564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD J HWANG MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2012-10-03",
"status": "A",
"authorized_official_last_name": "HWANG",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-490-6500",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "VA",
"license": "0101041789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901031",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
- Douglas Evan Rhoney, L.P.C.
- Pamela Ri'Chard, DNP, FNP-BC
- Walton Rice, OD
- Richard G Tami DDS PC
- Richard G. Robinson, M.D & Mark J. Clinton, M.D., P.C.
- Ebony Makeda Richards, M.D.
- Christina Michelle Richardson
- Stephanie Lee Richardson, MOT, OTR/L
- Ridgeview Internal Medicine
- James Justin Ridley, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.