Organization Active NPI

Niche Hand Surgery and Orthopedics PLLC

  • Orthopaedic Surgery Physician
  • Fairfax, VA
National Provider Identifier
1992441679
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NICHE HAND SURGERY AND ORTHOPEDICS PLLC
Practice address
8500 Executive Park Ave Ste 310
Fairfax, VA 22031-2249
Phone
(703) 894-0695
Fax
(703) 783-1369
NPI assigned
May 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Ugochi Okoroafor-Ridgway, MDNPI 1629414339
Title
Owner
Phone
(703) 894-0695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X

Addresses

Primary practice location

8500 Executive Park Ave Ste 310
Fairfax, VA 22031-2249

Mailing address

9480 Main St # 1129
Fairfax, VA 22031-4032
Phone (703) 894-0695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220926002267 DC Part B Supplier - Clinic/Group Practice 7416333646 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfax, VA
O20231129002514 VA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7416333646 Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory

Locations

8500 Executive Park Ave
Ste 310
Fairfax, VA 22031
Phone (571) 454-6085

8500 Executive Park Ave
Ste 312
Fairfax, VA 22031
Phone (703) 278-2662

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1992441679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 MAIN ST # 1129",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314032",
            "telephone_number": "703-894-0695",
            "fax_number": "800-770-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 EXECUTIVE PARK AVE STE 310",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312249",
            "telephone_number": "703-894-0695",
            "fax_number": "703-783-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHE HAND SURGERY AND ORTHOPEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "OKOROAFOR-RIDGWAY",
        "authorized_official_first_name": "UGOCHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-894-0695",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.