Javan Wellness Ballston LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JAVAN WELLNESS BALLSTON LLC

Practice address

4000 Wilson Blvd Ste D
Arlington, VA 22203-4401

Phone

(301) 962-4278

NPI assigned

Sep 24, 2019

Last updated

Sep 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ehsan AbdeshahianNPI 1871844720

Title

Owner

Phone

(301) 962-4278

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ehsan Abdeshahian, MD

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1871844720
  NPD Authorized official

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1720639503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WILSON BLVD STE D",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222034401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WILSON BLVD STE D",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222034401",
            "telephone_number": "301-962-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVAN WELLNESS BALLSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "ABDESHAHIAN",
        "authorized_official_first_name": "EHSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-962-4278"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisia L Jarvis, OD
• Ayam Jasim
• Jason F Favagehi DDS PC (Rosslyn Dental Art Center)
• Emiline B Jasper, FNP
• Jessica Marie Jaszcar, PT, DPT
• Jay S Rana MD PLC
• Jean-Gilles Tchabo MD LTD (Tchabo Care Obstetrics & Gynecology)
• Nancy Jean-Pierre
• Danielle Saint Ulme Jean, MD
• Mark K Jefferies

• Clinic/Center in Arlington, VA
• Providers in Arlington, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.