OrganizationActive
Gastroenterology Associates of Northern Virginia, LLC
NPI 1629758180 · Non-Pharmacy Dispensing Site · Fairfax, VA
Provider details
- NPI number
- 1629758180
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Gastroenterology Associates of Northern Virginia, LLC
- Organization subpart
- Yes
- Authorized official
- Alan Oliver, Ceo(786) 530-3820
Specialties & taxonomies
Suppliers
Practice location
3028 Javier Rd Ste 300
Fairfax, VA 22031-4622
Phone: (865) 303-8207
Fax: (305) 675-3378
Approximate (ZIP-level) locationGet directions
Mailing address
9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Other names (DBA / former)
- Other name
- Va Ncpdp
- Other name
- Va Ncpdp
Registry dates
- Enumerated
- 2023-07-20
- Last updated
- 2025-05-15
- Certified
- 2025-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.