Active NPI
Shore Armani MD PC
- Internal Medicine Physician
- MC Lean, VA
National Provider Identifier
1770173031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shore Armani, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073543088 | Medicaid | VA |
Other names 2
- Shore Armani MD PC
- Shore Armani Md
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.advancedmd.com/medical-office-software/security/ | Health Information Exchange (HIE) | AdvancedMD EHR Patient Software |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0993996 | Shore Armani, MD | Certificate of waiver | Aug 31, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- MC Lean, VA
- NPI 1073543088
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.