Organization Active NPI

Crescent Medical Arts

  • Internal Medicine Physician
  • Leesburg, VA
National Provider Identifier
1649662339
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101053554 Issued in VA
Legal business name
CRESCENT MEDICAL ARTS
Practice address
19415 Deerfield Ave
Suite 213
Leesburg, VA 20176-8452
Phone
(703) 729-9220
Fax
(703) 858-3529
NPI assigned
Mar 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Tareq Abedin, M.D.
Title
Ceo
Phone
(703) 729-9220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101053554 VA Primary

Addresses

Primary practice location

19415 Deerfield Ave
Suite 213
Leesburg, VA 20176-8452

Mailing address

19415 Deerfield Ave
Suite 213
Leesburg, VA 20176-8452
Phone (703) 729-9220

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1649662339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE",
            "address_2": "SUITE 213",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768452",
            "telephone_number": "703-729-9220",
            "fax_number": "703-858-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE",
            "address_2": "SUITE 213",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768452",
            "telephone_number": "703-729-9220",
            "fax_number": "703-858-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT MEDICAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "ABEDIN",
        "authorized_official_first_name": "TAREQ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-729-9220",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101053554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.