Individual provider Active NPI

Sorin Titus Muncaciu, CSA

  • Surgical Assistant
  • Sterling, VA
National Provider Identifier
1912116377
Registry record updated Dec 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
2301 Issued in VA
Practice address
21301 Highwood CT
Sterling, VA 20165-7605
Phone
(703) 433-2253
Fax
(703) 433-2253
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 2301 VA Primary

Addresses

Primary practice location

21301 Highwood CT
Sterling, VA 20165-7605

Mailing address

21301 Highwood CT
Sterling, VA 20165-7605
Phone (703) 433-2253

Other identifiers 1

IdentifierTypeStateIssuer
2301OtherVACERTIFIED SURGICAL ASSIST

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2301VAMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230076800000",
    "number": "1912116377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21301 HIGHWOOD CT",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657605",
            "telephone_number": "703-433-2253",
            "fax_number": "703-433-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21301 HIGHWOOD CT",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657605",
            "telephone_number": "703-433-2253",
            "fax_number": "703-433-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNCACIU",
        "first_name": "SORIN",
        "middle_name": "TITUS",
        "name_prefix": "Mr.",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "VA",
            "license": "2301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED SURGICAL ASSIST",
            "identifier": "2301",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; 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.