Organization Active NPI

Mega Tech Construction Corporation

  • Customized Equipment (DME)
  • Annandale, VA
National Provider Identifier
1982837951
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
2705073655A Issued in VA
Legal business name
MEGA TECH CONSTRUCTION CORPORATION
Doing business as
Joon Park
Practice address
3405 Monarch LN
Annandale, VA 22003-1156
Phone
(703) 955-1041
Fax
(703) 876-0355
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Mr. Yong Joon Park
Title
Contractor
Phone
(703) 955-1041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 2705073655A VA Primary

Addresses

Primary practice location

3405 Monarch LN
Annandale, VA 22003-1156

Mailing address

3405 Monarch LN
Annandale, VA 22003-1156
Phone (703) 955-1041

Other names 1

  • Joon Park Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1982837951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 MONARCH LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031156",
            "telephone_number": "703-955-1041",
            "fax_number": "703-876-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 MONARCH LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031156",
            "telephone_number": "703-955-1041",
            "fax_number": "703-876-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGA TECH CONSTRUCTION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "JOON",
        "authorized_official_title_or_position": "CONTRACTOR",
        "authorized_official_telephone_number": "703-955-1041",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": "2705073655A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joon Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.