Organization Active NPI

Nova Concierge Medicine & Aesthetics

  • Internal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1629798186
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NOVA CONCIERGE MEDICINE & AESTHETICS
Practice address
10621 Braddock Rd Ste K
Fairfax, VA 22032-2200
Phone
(703) 789-0073
NPI assigned
Sep 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Mr. Muhammad Asad
Title
Manager
Phone
(914) 595-5767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10621 Braddock Rd Ste K
Fairfax, VA 22032-2200

Mailing address

10621 Braddock Rd Ste K
Fairfax, VA 22032-2200
Phone (703) 789-0073

National Provider Directory

National Provider Directory

Locations

10621 Braddock Rd
Ste K
Fairfax, VA 22032
Phone (703) 385-6960

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1629798186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10621 BRADDOCK RD STE K",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322200",
            "telephone_number": "703-789-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 BRADDOCK RD STE K",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322200",
            "telephone_number": "703-789-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA CONCIERGE MEDICINE & AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "ASAD",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-595-5767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 10, 2022; 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.