Organization Active NPI

Aiznner USA Enoch, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fairfax, VA
National Provider Identifier
1689814360
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AIZNNER USA ENOCH, INC.
Practice address
12805 Madeley CT
Fairfax, VA 22033
Phone
(703) 650-0822
Fax
(571) 287-7427
NPI assigned
Feb 20, 2009
Last updated
Feb 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Mrs. Ok Ja Park
Title
President
Phone
(703) 887-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

12805 Madeley CT
Fairfax, VA 22033

Mailing address

12805 Madeley CT
Fairfax, VA 22033
Phone (703) 650-0822

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1689814360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12805 MADELEY CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22033",
            "telephone_number": "703-650-0822",
            "fax_number": "571-287-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12805 MADELEY CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22033",
            "telephone_number": "703-650-0822",
            "fax_number": "571-287-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIZNNER USA ENOCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "OK",
        "authorized_official_middle_name": "JA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-887-5511",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.