Organization Active NPI

Gastroenterology Associates of Northern Virginia, LLC

  • Non-Pharmacy Dispensing Site
  • Fairfax, VA
National Provider Identifier
1629758180
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC
Practice address
3028 Javier Rd Ste 300
Fairfax, VA 22031-4622
Phone
(865) 303-8207
Fax
(305) 675-3378
NPI assigned
Jul 20, 2023
Organization subpart
Yes
Parent organization
GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Alan Oliver
Title
Ceo
Phone
(786) 530-3820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

3028 Javier Rd Ste 300
Fairfax, VA 22031-4622

Mailing address

9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Phone (305) 468-4185

Other names 1

  • VA NCPDP Other name

National Provider Directory

National Provider Directory
Tax ID family
Gastro Assoc of N VA LLC4 organizations share this tax ID, including this one
Part of
Gastro Assoc of N VA LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1629758180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562866",
            "telephone_number": "305-468-4185",
            "fax_number": "305-675-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 JAVIER RD STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314622",
            "telephone_number": "865-303-8207",
            "fax_number": "305-675-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC",
        "enumeration_date": "2023-07-20",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-530-3820"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VA NCPDP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "VA NCPDP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.