Active NPI
Charles Alan Sneiderman, M.D.
- Family Medicine Physician
- Falls Church, VA
National Provider Identifier
1851428965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101033826
- Practice address
- 3622 Stanford Cir
Falls Church, VA 22041-1317 - Phone
- (202) 657-4432
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D24869 | MD | |
| Family Medicine Physician | 207Q00000X | 0101033826 | VA | Primary |
Addresses
Primary practice location
3622 Stanford Cir
Falls Church, VA 22041-1317
Mailing address
3622 Stanford Cir
Falls Church, VA 22041-1317
Phone (202) 657-4432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D24869 | MD | MD | Family Medicine Physician |
Interoperability endpoints
- charles.sneiderman.1@19059.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1851428965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3622 STANFORD CIR",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220411317",
"telephone_number": "202-657-4432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3622 STANFORD CIR",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220411317",
"telephone_number": "202-657-4432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNEIDERMAN",
"first_name": "CHARLES",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D24869",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101033826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.