Active NPI
Consultant Corner LLC
- Neurology Physician
- Fairfax, VA
National Provider Identifier
1851136683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- CONSULTANT CORNER LLC
- Practice address
- 11166 Fairfax Blvd Ste 500
Fairfax, VA 22030-5017 - Phone
- (347) 401-8280
- Fax
- (928) 318-6622
- NPI assigned
- Jun 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Saqib A Chaudhry, MD
- Title
- Owner / Ceo
- Phone
- (347) 401-8280
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurocritical Care Physician | 2084A2900X | |||
| Neurology Physician | 2084N0400X | Primary | ||
| Vascular Neurology Physician | 2084V0102X |
Addresses
Primary practice location
11166 Fairfax Blvd Ste 500
Fairfax, VA 22030-5017
Mailing address
11166 Fairfax Blvd Ste 500
Fairfax, VA 22030-5017
Phone (347) 401-8280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721692800000",
"number": "1851136683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11166 FAIRFAX BLVD STE 500",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220305017",
"telephone_number": "347-401-8280",
"fax_number": "928-318-6622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11166 FAIRFAX BLVD STE 500",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220305017",
"telephone_number": "347-401-8280",
"fax_number": "928-318-6622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSULTANT CORNER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-25",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A",
"authorized_official_last_name": "CHAUDHRY",
"authorized_official_first_name": "SAQIB",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER / CEO",
"authorized_official_telephone_number": "347-401-8280",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084A2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084V0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.