Organization Active NPI

Nova Occupational Health Inc

  • Occupational Medicine Physician
  • Manassas, VA
National Provider Identifier
1679836746
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
0101057543 Issued in VA
Legal business name
NOVA OCCUPATIONAL HEALTH INC
Practice address
8714 Sudley Rd
Manassas, VA 20110-4405
Phone
(703) 468-0150
Fax
(703) 361-0346
NPI assigned
Jun 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Authorized official

Name
Madhusudan Panthi
Title
Account Manager
Phone
(703) 468-0150

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 0101048836 VA
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X 0101057543 VA Primary

Addresses

Primary practice location

8714 Sudley Rd
Manassas, VA 20110-4405

Mailing address

8714 Sudley Rd
Manassas, VA 20110-4405
Phone (703) 468-0150

National Provider Directory

National Provider Directory

Locations

8714 Sudley Rd
Manassas, VA 20110
Phone (703) 361-4357

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": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1679836746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8714 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104405",
            "telephone_number": "703-468-0150",
            "fax_number": "703-361-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8714 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104405",
            "telephone_number": "703-468-0150",
            "fax_number": "703-361-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA OCCUPATIONAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "PANTHI",
        "authorized_official_first_name": "MADHUSUDAN",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "703-468-0150"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101048836",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "VA",
            "license": "0101057543",
            "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 Jun 22, 2012; 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.