PEDIATRIC PHYSICIANS OF RESTON PC NPI 1841494796

NPI Information

  • NPI: 1841494796
  • Provider Name: PEDIATRIC PHYSICIANS OF RESTON, PC
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Doing Business As: RESTON TOWN CENTER PEDIATRICS
  • CLIA Number: 49D0222714
  • Address: 1830 TOWN CENTER DR
    SUITE # 205
    RESTON, VA
    ZIP 20190
  • Phone: (703) 435-3636

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NPI Details

PEDIATRIC PHYSICIANS OF RESTON, PC is an adolescent medicine pediatrics in Reston, VA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PEDIATRIC PHYSICIANS OF RESTON, PC NPI is 1841494796. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Reston Town Center Pediatrics.

The provider's business location address is:

1830 TOWN CENTER DR
SUITE # 205
RESTON, VA
ZIP 20190-292
Phone: (703) 435-3636
Fax: (703) 435-9145

The provider's authorized official is Rosemary J. Connolly .
The authorized official title is Practice Manager and has the following contact phone number (703) 435-0325.

The CLIA number assigned to this NPI record is 49D0222714 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/13/2007 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
12080A0000XPediatricsAdolescent MedicineYes

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: 3/30/2025

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