P.W. Pediatrics P.C.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

10101058221 Issued in VA

Legal business name

P.W. PEDIATRICS P.C.

Practice address

4001 Prince William Pkwy
Suite 200
Woodbridge, VA 22192-7666

Phone

(571) 402-7130

Fax

(571) 285-2166

NPI assigned

Jan 14, 2014

Last updated

Jan 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Salah Neberai, M.D., FAAPNPI 1497831051

Title

Pedirtician

Phone

(571) 402-7130

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Salah M Neberai, MD

  • Pediatric Hospice and Palliative Medicine Physician
  • Herndon, VA
  • NPI 1497831051
  NPD (past) Authorized official

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1881016632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 PRINCE WILLIAM PKWY",
            "address_2": "SUITE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927666",
            "telephone_number": "571-402-7130",
            "fax_number": "571-285-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 PRINCE WILLIAM PKWY",
            "address_2": "SUITE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927666",
            "telephone_number": "571-402-7130",
            "fax_number": "571-285-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.W. PEDIATRICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "NEBERAI",
        "authorized_official_first_name": "SALAH",
        "authorized_official_title_or_position": "PEDIRTICIAN",
        "authorized_official_telephone_number": "571-402-7130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., FAAP"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "VA",
            "license": "10101058221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497831051",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Public Health or Welfare Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.