Kynetic Medical Group Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KYNETIC MEDICAL GROUP INC

Doing business as

NOVA DME

Practice address

5549 Mapledale PLZ
Woodbridge, VA 22193-4527

Phone

(703) 763-3877

Fax

(703) 763-3945

NPI assigned

Nov 8, 2018

Organization subpart

No

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

Authorized official

Name

Jordana Lee Arpa

Title

Ceo

Phone

(703) 763-3877

Specialties & licenses 1

Addresses

Other names 1

• NOVA DME Doing business as

Locations

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1801364781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5549 MAPLEDALE PLZ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934527",
            "telephone_number": "703-763-3877",
            "fax_number": "703-763-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5549 MAPLEDALE PLZ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934527",
            "telephone_number": "703-763-3877",
            "fax_number": "703-763-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYNETIC MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "ARPA",
        "authorized_official_first_name": "JORDANA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-763-3877"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVA DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eugenia Mawufenya Kwa-Kofi, APRN
• Valentina Kwarteng, RN
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• Sarah L Kwon, PHARM.D.
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• Durable Medical Equipment & Medical Supplies in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.