PEDIATRIC GASTROENTEROLOGY OF NORTHERN VIRGINIA
NPI 1164779682
Pediatrics - Pediatric Gastroenterology in Fairfax, VA

Active since August 14, 2012
2700 PROSPERITY AVE, SUITE 260, FAIRFAX, VA 22031(571) 314-0444(855) 237-3628 Get Directions Write a Review

NPPES record last updated: December 20, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pediatrics
  • Pediatric Gastroenterology

About PEDIATRIC GASTROENTEROLOGY OF NORTHERN VIRGINIA

This page provides the complete NPI Profile along with additional information for Pediatric Gastroenterology Of Northern Virginia, a pediatrician established in Fairfax, Virginia operating as a Pediatrics, focusing in pediatric gastroenterology . The healthcare provider is registered in the NPI registry with number 1164779682 assigned on August 2012. The practitioner's primary taxonomy code is 2080P0206X with license number 0101243680 (VA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Pediatric Gastroenterology Of Northern Virginia. The authorized official of this NPI record is Dr. Benjamin Enav Md (President)

NPI
1164779682 Verify this NPI
Provider Legal Name
BENJAMIN I. ENAV, MD, LLC
Other Organization Name
PEDIATRIC GASTROENTEROLOGY OF NORTHERN VIRGINIA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2700 PROSPERITY AVE SUITE 260 FAIRFAX, VA 22031
Location Phone
(571) 314-0444
Location Fax
(855) 237-3628
Mailing Address
2700 PROSPERITY AVE SUITE 260 FAIRFAX, VA 22031
Mailing Phone
(571) 314-0444
Mailing Fax
(855) 237-3628
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2012
Last Update Date
12-20-2013
Code Navigator

A pediatrician like Pediatric Gastroenterology Of Northern Virginia is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Gastroenterology

Taxonomy Code
2080P0206X
Type
Allopathic & Osteopathic Physicians
License No.
0101243680
License State
VA
Taxonomy Description
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BENJAMIN ENAV MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(571) 314-0444

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Nursing Care
2700 PROSPERITY AVE
FAIRFAX, VA 22031
Dietitian, Registered
2700 PROSPERITY AVE, SUITE 100
FAIRFAX, VA 22031
General Acute Care Hospital
2700 PROSPERITY AVE, SUITE 100
FAIRFAX, VA 22031
Dietitian, Registered
2700 PROSPERITY AVE, SUITE 100
FAIRFAX, VA 22031
Pediatrics (Pediatric Gastroenterology)
2700 PROSPERITY AVE, SUITE 260
FAIRFAX, VA 22031
Dietitian, Registered
2700 PROSPERITY AVE
FAIRFAX, VA 22031
Nurse Practitioner (Family)
2700 PROSPERITY AVE
FAIRFAX, VA 22031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164779682, enumerated as an "organization" on August 14, 2012.

The provider is located at 2700 PROSPERITY AVE SUITE 260 FAIRFAX, VA 22031 and the phone number is (571) 314-0444.

Pediatrics with taxonomy code 2080P0206X and a focus in Pediatric Gastroenterology.