Organization Active NPI

Nova Neuroscience

  • Medical Specialty Clinic/Center
  • Vienna, VA
National Provider Identifier
1760906747
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
NOVA NEUROSCIENCE
Practice address
8230 Boone Blvd Ste 360
Vienna, VA 22182-2632
Phone
(703) 748-1000
Fax
(703) 748-1010
NPI assigned
Aug 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Buelent Yapicilar, MDNPI 1083811103
Title
Managing Provider
Phone
(703) 748-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

8230 Boone Blvd Ste 360
Vienna, VA 22182-2632

Mailing address

8230 Boone Blvd Ste 360
Vienna, VA 22182-2632
Phone (703) 748-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180104000070 DC Part B Supplier - Clinic/Group Practice 4789942376 Receives reassigned benefits from 1 practitioner
Practice locations: Vienna, VA
O20190605002376 VA Part B Supplier - Clinic/Group Practice 4789942376 Receives reassigned benefits from 1 practitioner
Practice locations: Vienna, VA; Woodbridge, VA

National Provider Directory

National Provider Directory

Locations

11199 Route 29
Ste 509
Fairfax, VA 22030

8230 Boone Blvd
Ste 360
Vienna, VA 22182
Phone (703) 748-1000

8230 Boone Blvd
Vienna, VA 22182
Phone (703) 748-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760906747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 BOONE BLVD STE 360",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822632",
            "telephone_number": "703-748-1000",
            "fax_number": "703-748-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 BOONE BLVD STE 360",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822632",
            "telephone_number": "703-748-1000",
            "fax_number": "703-748-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA NEUROSCIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YAPICILAR",
        "authorized_official_first_name": "BUELENT",
        "authorized_official_title_or_position": "MANAGING PROVIDER",
        "authorized_official_telephone_number": "703-748-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.