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NORTHERN VIRGINIA UROLOGY, PLLC
NPI 1689769861
Specialist in Fairfax, VA

Active since October 04, 2006
10301 DEMOCRACY LN, SUITE 410, FAIRFAX, VA 22030(703) 876-5942(703) 876-5972 Get Directions Write a Review

NPPES record last updated: March 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northern Virginia Urology, Pllc NPPES

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

NORTHERN VIRGINIA UROLOGY, PLLC (NPI 1689769861) is a healthcare organization registered as a specialist in Fairfax, Virginia and active in the NPI registry since October 2006. The organization lists Maryjo Mayberry Mckenna, Central Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1689769861
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHERN VIRGINIA UROLOGY, PLLC
Location Address10301 DEMOCRACY LN, SUITE 410Fairfax, VA 22030-2545
Mailing Address10301 Democracy Ln, Suite 410Fairfax, VA 22030-2545 · (703) 876-5942 · Fax (703) 876-5972
Phone(703) 876-5942
Fax(703) 876-5972
Organization SubpartNo
Authorized OfficialMaryjo Mayberry MckennaCentral Business Office Manager · (703) 876-5942
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 5, 2008
✔ NPI 1689769861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10301 DEMOCRACY LN, Fairfax, VA 22030
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Other Identifiers 6

Other7845793Aetna Ppo
Medicare PING02282
OtherN190Carefirst Bcbs
Medicare PINDE5660VA
Medicaid1689769861VA
Other1220932Aetna Hmo

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

FAMILY PRESERVATION SERVICES, INC
Community/Behavioral Health
10301 DEMOCRACY LN, SUITE 275
FAIRFAX, VA 22030
Fairfax City (703) 691-7373
FAIRFAX REHABILITATION, INCORPORATED
Clinic/Center (Rehabilitation)
10301 DEMOCRACY LN, SUITE 100
FAIRFAX, VA 22030
Fairfax City (703) 273-9191
DR. MARLA ROBIN GEBAIDE D.C.
Chiropractor
10301 DEMOCRACY LN, SUITE 110
FAIRFAX, VA 22030
Fairfax City (703) 293-2939
NET GLOBAL MEDICAL SERVICES INC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
10301 DEMOCRACY LN, SUITE 100
FAIRFAX, VA 22030
Fairfax City (703) 591-0303
ANU GUPTA MD PC
Clinic/Center (Medical Specialty)
10301 DEMOCRACY LN
FAIRFAX, VA 22030
Fairfax City (703) 934-4450
MS. KIANA SYMONE CUMMINGS
Counselor
10301 DEMOCRACY LN
FAIRFAX, VA 22030
Fairfax City (703) 547-3509

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 Northern Virginia Urology, PLLC's NPI number?

The NPI number for Northern Virginia Urology, PLLC is 1689769861. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Northern Virginia Urology, PLLC located?

Northern Virginia Urology, PLLC is located at 10301 Democracy Ln Suite 410, Fairfax, VA 22030. The listed phone number is (703) 876-5942.

What is Northern Virginia Urology, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Northern Virginia Urology, PLLC was last updated on March 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.