OrganizationActive
Fairfax Neonatal Associates, LLC
NPI 1821055609 · Neonatal-Perinatal Medicine Physician · Fairfax, VA
Provider details
- NPI number
- 1821055609
- Entity type
- Organization
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gregory Bengston, Evp, Coo(703) 289-1422
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Pulmonology Physician2080P0214X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3060 Williams Drive
Suite 520
Fairfax, VA 22031-4648
Phone: (703) 289-1400
Fax: (703) 289-1414
Approximate (ZIP-level) locationGet directions
Mailing address
3060 Williams Drive
Fairfax, VA 22031-4648
Other names (DBA / former)
- Other name
- Fairfax Neonatal Associates
Registry dates
- Enumerated
- 2006-04-27
- Last updated
- 2025-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.