NPIMap

Organization Active NPI

New Flower LLC

  • Internal Medicine Physician
  • Fairfax Station, VA
National Provider Identifier
1790036226
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101055711 Issued in VA
Legal business name
NEW FLOWER LLC
Practice address
8439 Lake Mist Way
Fairfax Station, VA 22039-2676
Phone
(703) 200-5422
NPI assigned
Sep 24, 2012
Last updated
Sep 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Melaku Ayalew, MDNPI 1679759088
Title
Owner
Phone
(703) 200-5422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101055711 VA Primary

Addresses

Primary practice location

8439 Lake Mist Way
Fairfax Station, VA 22039-2676

Mailing address

8439 Lake Mist Way
Fairfax Station, VA 22039-2676

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1790036226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8439 LAKE MIST WAY",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8439 LAKE MIST WAY",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392676",
            "telephone_number": "703-200-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW FLOWER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "AYALEW",
        "authorized_official_first_name": "MELAKU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-200-5422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101055711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax Station, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.