Active NPI
Nova Concierge Medicine & Aesthetics
- Internal Medicine Physician
- Fairfax, VA
National Provider Identifier
1629798186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1881037885
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
- Nova Birth Partners, LLC
- Nova Care Wellness
- Nova Center for Dental Sleep Treatment PLLC
- Nova Children'S General Anesthesia Dentistry, PLLC
- Nova Children'S Surgery Center, LLC
- Nova Diagnostics LLC
- Nova Endoscopy Center
- Nova Family Dentistry
- Nova Gonstead Chiropractic Clinic PLLC
- Nova Gynecology Associates LLC
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.