MY KID'S PEDIATRICS AND ADOLESCENT CARE
NPI 1033535778
Pediatrics in Fairfax, VA

Q: What is Bnm, Inc.'s NPI number?

The NPI number for Bnm, Inc. is 1033535778. It was assigned to this organization in the NPPES registry on March 5, 2014. The provider is doing business as My Kid's Pediatrics And Adolescent Care.

Q: What is Bnm, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Bnm, Inc. was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 05, 2014CLIA 49D2082478 · Waiver

12011 LEE JACKSON MEMORIAL HWY, SUITE 220, FAIRFAX, VA 22033(703) 865-5437 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About My Kid's Pediatrics And Adolescent Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY KID'S PEDIATRICS AND ADOLESCENT CARE (NPI 1033535778) is a healthcare organization registered as a pediatrics in Fairfax, Virginia and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through August 14, 2026 and lists Christina Soh Yun Jung, President, as its authorized official.

NPPES Registry Identity

NPI1033535778

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameBNM, INC.

Location Address12011 LEE JACKSON MEMORIAL HWY, SUITE 220Fairfax, VA 22033-3310

Mailing Address12011 Lee Jackson Memorial Hwy, Suite 220Fairfax, VA 22033-3310 · (703) 865-5437

Phone(703) 865-5437

Organization SubpartNo

Authorized OfficialChristina Soh Yun JungPresident · (703) 865-5437

Enumeration DateMarch 5, 2014

Last NPPES UpdateMay 5, 2014

✔ NPI 1033535778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

12011 LEE JACKSON MEMORIAL HWY, Fairfax, VA 22033

Open in Google Maps ↗

Other Names 1

Doing Business AsMy Kid's Pediatrics And Adolescent Care

Other Identifiers 2

Medicaid1639326796VA

Medicaid556505700MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2082478

Bnm, Inc Dba My Kid's Pediatrics And Adolescent Care · Fairfax, VA

Active · expires Aug 14, 2026

CLIA Number49D2082478

Laboratory TypePhysician Office

Certificate Effective DateAugust 15, 2024

Certificate Expiration DateAugust 14, 2026

Laboratory DirectorChristina S. Jung

Laboratory Phone(703) 865-5437

Laboratory LocationBnm, Inc Dba My Kid's Pediatrics And Adolescent Care12011 Lee Jackson Memorial Highway, Suite 220, Fairfax, VA 22033

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SYLVIA SUSAN SARIN PA-C

Physician Assistant (Medical)

12011 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA 22033

Fairfax County (703) 383-5443

PARAMOUNT CARE PHYSICIANS LLP

Internal Medicine

12011 LEE JACKSON MEMORIAL HWY, SUITE 230
FAIRFAX, VA 22033

Fairfax County (703) 222-0002

BARRY JOHN DECKER M.D.

Internal Medicine (Pulmonary Disease)

12011 LEE JACKSON MEMORIAL HWY, PENDERBROOK MEDICAL CENTER
FAIRFAX, VA 22033

Fairfax County (703) 383-5400

DR. DAVID C LIPPS MD

Chiropractor (Neurology)

12011 LEE JACKSON MEMORIAL HWY, 2ND FLOOR
FAIRFAX, VA 22033

Fairfax County (703) 383-5411

DR. CONSTANTINE TZIROS MD

Internal Medicine (Cardiovascular Disease)

12011 LEE JACKSON MEMORIAL HWY, PENDERBROOK MEDICAL CENTER
FAIRFAX, VA 22033

Fairfax County (703) 383-5400

WAYNE SCHECHT D.D.S.

Dentist (General Practice)

12011 LEE JACKSON MEMORIAL HWY, SUITE 105
FAIRFAX, VA 22033

Fairfax County (703) 273-5354

CLIFTON CARE LLC

Clinic/Center (VA)

12011 LEE JACKSON MEMORIAL HWY, SUITE 102
FAIRFAX, VA 22033

Fairfax County (703) 385-8378

DR. KOMAL S. KARMACHARYA D.D.S.

Dentist (General Practice)

12011 LEE JACKSON MEMORIAL HWY, SUITE 502
FAIRFAX, VA 22033

Fairfax County (703) 268-5622

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bnm, Inc.'s NPI number?

The NPI number for Bnm, Inc. is 1033535778. It was assigned to this organization in the NPPES registry on March 5, 2014. The provider is doing business as My Kid's Pediatrics And Adolescent Care.

Where is Bnm, Inc. located?

Bnm, Inc. is located at 12011 Lee Jackson Memorial Hwy Suite 220, Fairfax, VA 22033. The listed phone number is (703) 865-5437.

What is Bnm, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Bnm, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2082478) is associated with this NPI, valid through August 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bnm, Inc. was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.