Organization Active NPI

Marcelo Andreoli MD

  • Specialist
  • Falls Church, VA
National Provider Identifier
1912154188
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101055708 Issued in VA
Legal business name
MARCELO ANDREOLI MD
Practice address
2946 Sleepy Hollow Rd
Ste 2D
Falls Church, VA 22044-2003
Phone
(703) 531-1054
Fax
(703) 531-1090
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Ms. Lia Forsythe
Title
Manager
Phone
(703) 531-1054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101055708 VA Primary

Addresses

Primary practice location

2946 Sleepy Hollow Rd
Ste 2D
Falls Church, VA 22044-2003

Mailing address

2946 Sleepy Hollow Rd
Ste 2D
Falls Church, VA 22044-2003
Phone (703) 531-1054

Other identifiers 1

IdentifierTypeStateIssuer
1255431375MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1912154188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 SLEEPY HOLLOW RD",
            "address_2": "STE 2D",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442003",
            "telephone_number": "703-531-1054",
            "fax_number": "703-531-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 SLEEPY HOLLOW RD",
            "address_2": "STE 2D",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442003",
            "telephone_number": "703-531-1054",
            "fax_number": "703-531-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELO ANDREOLI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "FORSYTHE",
        "authorized_official_first_name": "LIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-531-1054",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101055708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255431375",
            "state": "VA"
        }
    ],
    "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 Aug 19, 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.