Vip Imed Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101255440 Issued in VA

Legal business name

VIP IMED CENTER

Practice address

8303 Arlington Blvd
Suite 110
Fairfax, VA 22031-4645

Phone

(703) 207-4646

Fax

(703) 563-7467

NPI assigned

Aug 6, 2013

Organization subpart

No

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

Authorized official

Name

Victoria Borisovna

Title

Executive Director

Phone

(703) 207-4646

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1669804159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 ARLINGTON BLVD",
            "address_2": "SUITE 110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312903",
            "telephone_number": "703-207-4646",
            "fax_number": "703-563-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 ARLINGTON BLVD",
            "address_2": "SUITE 110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314645",
            "telephone_number": "703-207-4646",
            "fax_number": "703-563-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP IMED CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "BORISOVNA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-207-4646"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101255440",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "VA",
            "license": "101055521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Vincent, EDD, LPC, CSAC
• Kathryn Vincent, MD
• Serenea Vinci, MSW
• Geraldine Elizabeth Vingelis, EDD
• Rita Da Silva Vint, RN
• Virgina Health Group, PC
• Virginia ABA Center LLC
• Virginia Advanced Medical Center, PC
• Virginia Cancer Specialists, P.C.
• Virginia Cancer Specialists, P.C.

• All providers in Fairfax, VA
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.