Nova Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NOVA MEDICAL SUPPLY LLC

Practice address

7010 Little River Tpke
Ste 400
Annandale, VA 22003-3241

Phone

(703) 401-1454

NPI assigned

May 27, 2014

Organization subpart

No

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

Authorized official

Name

Amhed Mostafa, DPT

Title

Ceo

Phone

(703) 401-1454

Specialties & licenses 1

Addresses

Tax ID family

Nova Medical Supply2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nova Medical Supply

  • Home Health Agency
  • Annandale, VA
  • NPI 1194152595
  NPD tax ID

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1689086506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 LITTLE RIVER TPKE",
            "address_2": "STE 400",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033241",
            "telephone_number": "703-401-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 LITTLE RIVER TPKE",
            "address_2": "STE 400",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033241",
            "telephone_number": "703-401-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "MOSTAFA",
        "authorized_official_first_name": "AMHED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-401-1454",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Virginia Pulmonary & Critical Care Assoc PC
• Nova Dialysis Annandale LLC
• Nova Learning Group
• Nova Life Long Transportation
• Nova Medical Supply
• Nova Rehab Corp
• Nova Training Center
• Nu Dimensions, LLC
• Nu Pathway Healthcare and Wellness LLC
• Nu-Start Youth Intervention Services LLC

• Durable Medical Equipment & Medical Supplies in Annandale, VA
• Providers in Annandale, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.