Park Avenue Medical Group, P.C.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

PARK AVENUE MEDICAL GROUP, P.C.

Practice address

313 Park Ave
Suite 202
Falls Church, VA 22046-3327

Phone

(703) 533-3010

Fax

(703) 538-4316

NPI assigned

Feb 15, 2008

Organization subpart

No

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

Authorized official

Name

Firoozeh Hosseini Shahidi, M.D.NPI 1619058674

Title

Medical Director

Phone

(703) 533-3010

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Firoozeh Hosseini Shahidi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Falls Church, VA
  • NPI 1619058674

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1881862472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 PARK AVE",
            "address_2": "SUITE 202",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463327",
            "telephone_number": "703-533-3010",
            "fax_number": "703-538-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 PARK AVE",
            "address_2": "SUITE 202",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463327",
            "telephone_number": "703-533-3010",
            "fax_number": "703-538-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "SHAHIDI",
        "authorized_official_first_name": "FIROOZEH",
        "authorized_official_middle_name": "HOSSEINI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-533-3010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006892",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmin Parada
• Elizabeth Frances Paradise
• Paramount Therapy
• Jen H Paras, MSN CCRN BSN RN
• Park Avenue Dental PLLC
• Esther Park, DDS
• Esther Min Park
• Hannah Ariel Hyein Park
• Hannah Jiyoon Park
• Ji-Hae Park, LSW

• Endocrinology, Diabetes & Metabolism Physician in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.