Active NPI
Nicolas A Stettler, M.D.
- Pediatrics Physician
- Falls Church, VA
National Provider Identifier
1700892676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD066875L
- Practice address
- 3130 Fairview Park Dr Ste 500
The Lewin Group
Falls Church, VA 22042-4517 - Phone
- (703) 269-5535
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD066875L | PA | Primary |
| Pediatric Gastroenterology Physician | 2080P0206X | MD066875L | PA |
Addresses
Primary practice location
3130 Fairview Park Dr Ste 500
The Lewin Group
Falls Church, VA 22042-4517
Mailing address
3130 Fairview Park Dr Ste 500
The Lewin Group
Falls Church, VA 22042-4517
Phone (703) 269-5535
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001800090 | Medicaid | PA | |
| 8218706 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD066875L | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416960000000",
"number": "1700892676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 FAIRVIEW PARK DR STE 500",
"address_2": "THE LEWIN GROUP",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220424517",
"telephone_number": "703-269-5535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 FAIRVIEW PARK DR STE 500",
"address_2": "THE LEWIN GROUP",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220424517",
"telephone_number": "703-269-5535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STETTLER",
"first_name": "NICOLAS",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2014-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD066875L",
"primary": true
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "PA",
"license": "MD066875L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001800090",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8218706",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.