Organization Active NPI

Nova Allergy Group, LLC

Doing business as Allergy, Asthma & Sinus of NOVA

  • Allergy & Immunology Physician
  • Aldie, VA
National Provider Identifier
1790161545
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
NOVA ALLERGY GROUP, LLC
Doing business as
Allergy, Asthma & Sinus of NOVA
Practice address
24600 Millstream Dr Ste 430
Aldie, VA 20105-3512
Phone
(703) 327-3300
Fax
(703) 542-6785
NPI assigned
Aug 4, 2015
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Amit Mathuria
Title
Administrator
Phone
(703) 955-0807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

24600 Millstream Dr Ste 430
Aldie, VA 20105-3512

Mailing address

24600 Millstream Dr Ste 430
Aldie, VA 20105-3512
Phone (703) 327-3300

Other names 1

  • Allergy, Asthma & Sinus of NOVA Doing business as

National Provider Directory

National Provider Directory

Locations

621 Ridgely Ave
Ste 204
Annapolis, MD 21401
Phone (410) 266-1588

24600 Millstream Dr
Ste 360
Stone Ridge, VA 20105
Phone (571) 487-7786

24600 Millstream Dr
Ste 430
Stone Ridge, VA 20105
Phone (703) 327-3300

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": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1790161545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 MILLSTREAM DR STE 430",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053512",
            "telephone_number": "703-327-3300",
            "fax_number": "703-542-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 MILLSTREAM DR STE 430",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053512",
            "telephone_number": "703-327-3300",
            "fax_number": "703-542-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA ALLERGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "MATHURIA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-955-0807"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy, Asthma & Sinus of NOVA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aldie, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.