Justin Jeffrey Saadein-Morales, MBA

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

12720 Knightsbridge Dr
Woodbridge, VA 22192-5158

Phone

(434) 339-4114

NPI assigned

Sep 6, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harborgrid Inc

  • Durable Medical Equipment & Medical Supplies
  • Woodbridge, VA
  • NPI 1780352575
  NPD Authorized official

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1992473797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 KNIGHTSBRIDGE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 KNIGHTSBRIDGE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925158",
            "telephone_number": "434-339-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAADEIN-MORALES",
        "first_name": "JUSTIN",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-06",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744G0900X",
            "taxonomy_group": "",
            "desc": "Specialist, Graphics Designer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225CA2500X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "https://elb-harborgrid-37932.aptible.in",
            "affiliation": "N",
            "address_1": "12720 Knightsbridge Dr",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221925158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marlane Russell - Williams, MA, NCC, RIC
• Peter Cary Rustan, FNP-C
• Ruxton Health Care III, LLC
• S. Carrington, Inc
• S&S Health
• Hajeer Sabet, MD
• Aman Sachdev, D.D.S
• Negin Sadoughianzadeh
• Rebecca Lynn Sadtler, MSW
• Sohail Safdari, PA-C

• Contractor in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Contractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; 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.