Organization Active NPI

Nova Products LLC

  • Nursing Facility Supplies (DME)
  • Manassas, VA
National Provider Identifier
1679394977
Registry record updated Oct 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
Legal business name
NOVA PRODUCTS LLC
Practice address
9480 Innovation Dr
Manassas, VA 20110-2214
Phone
(703) 606-3332
NPI assigned
Oct 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2024

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

Authorized official

Name
Mr. Ferrin Moore
Title
President
Phone
(703) 606-3332

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dialysis Equipment & Supplies (DME) 332BD1200X
Nursing Facility Supplies (DME) 332BN1400X Primary

Addresses

Primary practice location

9480 Innovation Dr
Manassas, VA 20110-2214

Mailing address

9480 Innovation Dr
Manassas, VA 20110-2214
Phone (703) 606-3332

National Provider Directory

National Provider Directory

Locations

9480 Innovation Dr
Manassas, VA 20110
Phone (703) 606-3332

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729296000000",
    "number": "1679394977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 INNOVATION DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102214",
            "telephone_number": "703-606-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 INNOVATION DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102214",
            "telephone_number": "703-606-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PRODUCTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "FERRIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-606-3332",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; 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.