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633D MEDGRP-JB LANGLEY
NPI 1609859891
Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure in Langley Afb, VA

Active since November 22, 2005
77 NEALY AVE, LANGLEY AFB, VA 23665(757) 764-6807(757) 764-0821 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 17, 2025, May 30, 2025, Apr 1, 2024 and 1 more (4 updates tracked since 2022).

About 633d Medgrp-jb Langley NPPES

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

633D MEDGRP-JB LANGLEY (NPI 1609859891), doing business as 1st Medical Group, is a healthcare organization registered as a military and u.s. coast guard ambulatory procedure in Langley Afb, Virginia and active in the NPI registry since November 2005. The organization lists Jen Lewandowski, Dha Financial Manager, as its authorized official.

NPPES Registry Identity

NPI1609859891
Entity TypeOrganization
Primary Taxonomy261QM1101X
Legal Business Name633D MEDGRP-JB LANGLEY
Location Address77 NEALY AVELangley Afb, VA 23665-2040
Mailing Address77 Nealy AveLangley Afb, VA 23665-2040 · (757) 764-6807 · Fax (757) 764-0821
Phone(757) 764-6807
Fax(757) 764-0821
Organization SubpartYes
Authorized OfficialJen LewandowskiDha Financial Manager · (703) 817-4030
Enumeration DateNovember 22, 2005
Last NPPES UpdateJune 17, 20254 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1609859891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Military and U.S. Coast Guard Ambulatory ProcedureAmbulatory Health Care Facilities
Taxonomy Code261QM1101X
Definition
That part of a fixed (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial take home pharmaceuticals.
77 NEALY AVE, Langley Afb, VA 23665
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Other Names 1

Former Legal Business Name1st Medical Group

Other Identifiers 2

Other4834722VA · Ncpdp
Other000686VA · Bcbs

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.

JEFFREY LYNN BARBOUR RN
Registered Nurse
77 NEALY AVE
LANGLEY AFB, VA 23665
Hampton City (800) 872-8626
DR. CHRISTOPHER JOHN M.D.
Anesthesiology
77 NEALY AVE
HAMPTON, VA 23665
Hampton City (757) 764-0856
DR. IAN CHRISTOPHER CARPENTER PSY.D.
Psychologist (Clinical)
77 NEALY AVE
LANGLEY AFB, VA 23665
Hampton City (757) 225-1152
DR. VERONICA ALIX
Allergy & Immunology
77 NEALY AVE
HAMPTON, VA 23665
Hampton City (757) 225-7630
COREY LEE CZAJKA IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
77 NEALY AVE
LANGLEY AFB, VA 23665
Hampton City (757) 764-6800
IRIS H BAKER RN
Registered Nurse
77 NEALY AVE
HAMPTON, VA 23665
Hampton City (757) 225-2310
RYAN PETER CARFI DO
Internal Medicine
77 NEALY AVE
HAMPTON, VA 23665
Hampton City (757) 764-2523
BRANDI M BRINKMAN
Physical Therapist
77 NEALY AVE
HAMPTON, VA 23665
Hampton City (757) 764-6963

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 633D Medgrp-Jb Langley's NPI number?

The NPI number for 633D Medgrp-Jb Langley is 1609859891. It was assigned to this organization in the NPPES registry on November 22, 2005. The provider was formerly known as 1st Medical Group.

Where is 633D Medgrp-Jb Langley located?

633D Medgrp-Jb Langley is located at 77 Nealy Ave, Langley Afb, VA 23665. The listed phone number is (757) 764-6807.

What is 633D Medgrp-Jb Langley's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military and U.S. Coast Guard Ambulatory Procedure, with taxonomy code 261QM1101X.

When was this NPI record last updated?

The NPPES record for 633D Medgrp-Jb Langley was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.