Active NPI
Nova Occupational Health Inc
- Occupational Medicine Physician
- Manassas, VA
National Provider Identifier
1679836746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 0101057543
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101048836 | VA | |
| Occupational Medicine Physician | 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 DirectoryLocations
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.
-
- Adult Health Nurse Practitioner
- Manassas, VA
- NPI 1518208602
-
- Family Nurse Practitioner
- Fairfax Station, VA
- NPI 1356660740
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.