Organization Active NPI

Richard J Hwang MD PC

  • Dermatology Physician
  • Woodbridge, VA
National Provider Identifier
1629090501
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101041789 Issued in VA
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

Updated by the provider on Oct 3, 2012

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5901031MedicaidVA

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.