GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC
NPI 1053096461
Internal Medicine - Gastroenterology in Fairfax, VA

Q: What is Gastroenterology Associates Of Northern Virginia, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since June 21, 2023CLIA 49D2023173 · Waiver

3028 JAVIER RD STE 300, FAIRFAX, VA 22031(703) 698-8960(703) 828-0961 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2025, Jun 21, 2023 (2 updates tracked since 2023).

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About Gastroenterology Associates Of Northern Virginia, Llc NPPES

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

GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC (NPI 1053096461) is a healthcare organization registered as a gastroenterology in Fairfax, Virginia and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through April 17, 2027 and lists Alan Oliver, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053096461

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameGASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC

Location Address3028 JAVIER RD STE 300Fairfax, VA 22031-4622

Mailing Address9500 S Dadeland Blvd Ste 200Miami, FL 33156-2866 · (703) 698-8960 · Fax (703) 828-0961

Phone(703) 698-8960

Fax(703) 828-0961

Organization SubpartYes

Authorized OfficialAlan OliverCeo · (786) 530-3820

Enumeration DateJune 21, 2023

Last NPPES UpdateMay 15, 20252 updates tracked since enumeration

NPPES CertifiedMay 15, 2025

✔ NPI 1053096461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3028 JAVIER RD STE 300, Fairfax, VA 22031

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Other Names 1

Other NameVirginia Pharmacy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 49D2023173

Gastroenterology Associates Of Northern Virginia Endoscopy Center · Fairfax, VA

Active · expires Apr 17, 2027

CLIA Number49D2023173

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateApril 18, 2025

Certificate Expiration DateApril 17, 2027

Laboratory DirectorBezawit Tekola

Laboratory Phone(703) 698-8960

Laboratory LocationGastroenterology Associates Of Northern Virginia Endoscopy Center3028 Javier Road - Suite 400, Fairfax, VA 22031

CLIA data matches this NPI record on: Name Phone

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

Other Providers at the Same Location NPPES 10

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

MAJA SARAH STROLLO NP

Nurse Practitioner (Family)