Organization Active NPI

Kensington Pathology Consultants, Inc

  • Anatomic Pathology Physician
  • MC Lean, VA
National Provider Identifier
1669640116
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
0101231650 Issued in VA
Legal business name
KENSINGTON PATHOLOGY CONSULTANTS, INC
Practice address
1515 Chain Bridge Rd Ste G16
MC Lean, VA 22101-4421
Phone
(703) 893-0851
Fax
(888) 800-7899
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. Aizen J Marrogi, M.D
Title
President
Phone
(301) 801-6766

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0900X 0101231650 VA
Anatomic Pathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ZP0101X 0101231650 VA Primary

Addresses

Primary practice location

1515 Chain Bridge Rd Ste G16
MC Lean, VA 22101-4421

Mailing address

1515 Chain Bridge Rd Ste G16
MC Lean, VA 22101-4421
Phone (703) 893-0851

National Provider Directory

National Provider Directory

Locations

1515 Chain Bridge Rd
Ste G12
McLean, VA 22101
Phone (703) 356-5380

1515 Chain Bridge Rd
Ste G16
McLean, VA 22101
Phone (703) 893-0851

Practitioners & affiliated clinicians

Practitioners 2

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": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1669640116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 CHAIN BRIDGE RD STE G16",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014421",
            "telephone_number": "703-893-0851",
            "fax_number": "888-800-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 CHAIN BRIDGE RD STE G16",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014421",
            "telephone_number": "703-893-0851",
            "fax_number": "888-800-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENSINGTON PATHOLOGY CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "MARROGI",
        "authorized_official_first_name": "AIZEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-801-6766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "VA",
            "license": "0101231650",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": "VA",
            "license": "0101231650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.