Methuselah Foundation

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

METHUSELAH FOUNDATION

Practice address

8021 Flint St
Springfield, VA 22153-2438

Phone

(818) 321-8568

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Emmanuel Rayes, ESQ.

Title

Attorney

Phone

(818) 321-8568

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1831926757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8021 FLINT ST",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221532438",
            "telephone_number": "818-321-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8021 FLINT ST",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221532438",
            "telephone_number": "818-321-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHUSELAH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "RAYES",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "818-321-8568",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sameera Gharagozloo Meyer, DDS
• Tiffany Lynne Meyer, MD

• Geriatric Medicine (Family Medicine) Physician in Springfield, VA
• Providers in Springfield, VA by specialty
• Geriatric Medicine (Family Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.