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Fairfax Neonatal Associates, LLC

Organization Active NPI Neonatal-Perinatal Medicine Physician · Fairfax, VA

NPI 1821055609 · NPPES record last updated May 21, 2025

Key facts

NPI
1821055609
Entity type
Organization (NPI type 2)
Primary specialty
Neonatal-Perinatal Medicine Physician 2080N0001X
Legal business name
FAIRFAX NEONATAL ASSOCIATES, LLC
Practice address
3060 Williams Drive
Suite 520
Fairfax, VA 22031-4648
Phone
(703) 289-1400
Fax
(703) 289-1414
NPI assigned
Apr 27, 2006
Organization subpart
No

Authorized official

Name
Mr. Gregory Edward Bengston
Title
Evp, Coo
Phone
(703) 289-1422

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Janet K Hilliard DO (6 organizations share this tax ID)

Locations

3060 Williams Dr
Ste 520
Fairfax, VA 22031
Phone (703) 776-3547

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 2080N0001X Yes
Pediatric Pulmonology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 2080P0214X

Addresses

Primary practice location

3060 Williams Drive
Suite 520
Fairfax, VA 22031-4648

Mailing address

3060 Williams Drive
Suite 520
Fairfax, VA 22031-4648
Phone (703) 289-1400

Other names

  • Fairfax Neonatal Associates Other name

Other providers in Fairfax, VA

All providers in Fairfax, VA · Neonatal-Perinatal Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.