Organization Active NPI

Shore Armani MD PC

  • Internal Medicine Physician
  • MC Lean, VA
National Provider Identifier
1770173031
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SHORE ARMANI MD PC
Practice address
1580 Chain Bridge Rd
MC Lean, VA 22101-3503
Phone
(703) 883-9696
Fax
(866) 984-3166
NPI assigned
Jan 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Dr. Shore Armani, MDNPI 1073543088
Title
Owner/Physiciann
Phone
(703) 883-9696

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1580 Chain Bridge Rd
MC Lean, VA 22101-3503

Mailing address

1580 Chain Bridge Rd
MC Lean, VA 22101-3503
Phone (703) 883-9696

Other identifiers 1

IdentifierTypeStateIssuer
1073543088MedicaidVA

Other names 2

  • Shore Armani MD PC Other name
  • Shore Armani Md Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.advancedmd.com/medical-office-software/security/ Health Information Exchange (HIE) AdvancedMD EHR Patient Software

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0993996Shore Armani, MD1580 Chain Bridge Road, McLean, VA 22101Certificate of waiverAug 31, 2027

National Provider Directory

National Provider Directory

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": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1770173031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 CHAIN BRIDGE RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013503",
            "telephone_number": "703-883-9696",
            "fax_number": "866-984-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 CHAIN BRIDGE RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013503",
            "telephone_number": "703-883-9696",
            "fax_number": "866-984-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE ARMANI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "ARMANI",
        "authorized_official_first_name": "SHORE",
        "authorized_official_title_or_position": "OWNER/PHYSICIANN",
        "authorized_official_telephone_number": "703-883-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073543088",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.advancedmd.com/medical-office-software/security/",
            "affiliation": "Y",
            "endpointDescription": "Ehr System",
            "affiliationName": "AdvancedMD EHR Patient Software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Microsoft Windows Security Firewall",
            "address_1": "10876 S River Front Pkwy Ste 400",
            "city": "South Jordan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840955944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Shore Armani MD PC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Shore Armani Md",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.