JACOB T JOSEPH MD PC NPI 1457472391

NPI Information

  • NPI: 1457472391
  • Provider Name: JACOB T JOSEPH MD PC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • Address: 10721 MAIN ST
    SUITE 1100
    FAIRFAX, VA
    ZIP 22030
  • Phone: (703) 273-4762

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NPI Details

JACOB T JOSEPH MD PC is an adult medicine family medicine in Fairfax, VA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. JACOB T JOSEPH MD PC NPI is 1457472391. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10721 MAIN ST
SUITE 1100
FAIRFAX, VA
ZIP 22030-914
Phone: (703) 273-4762
Fax: (703) 591-7719

The provider's authorized official is Jacob T Joseph .
The authorized official title is President and has the following contact phone number (703) 273-4762.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult Medicine0101034461VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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