Organization Active NPI

Deka a Jama, M.D., LLC

  • Internal Medicine Physician
  • Vienna, VA
National Provider Identifier
1689990608
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DEKA A JAMA, M.D., LLC
Practice address
1934 Old Gallows Rd
Suite 350
Vienna, VA 22182-4042
Phone
(703) 405-6852
Fax
(703) 752-6201
NPI assigned
Apr 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Mrs. Deka A Jama, M.D.
Title
Owner
Phone
(703) 405-6852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1934 Old Gallows Rd
Suite 350
Vienna, VA 22182-4042

Mailing address

1934 Old Gallows Rd
Suite 350
Vienna, VA 22182-4042
Phone (703) 405-6852

National Provider Directory

National Provider Directory

Locations

2946 Sleepy Hollow Rd
Ste 2D
Falls Church, VA 22044
Phone (703) 241-1513

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1689990608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 OLD GALLOWS RD",
            "address_2": "SUITE 350",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221824042",
            "telephone_number": "703-405-6852",
            "fax_number": "703-752-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 OLD GALLOWS RD",
            "address_2": "SUITE 350",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221824042",
            "telephone_number": "703-405-6852",
            "fax_number": "703-752-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKA A JAMA, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "DEKA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-405-6852",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.