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ANNANDALE GERONTOLOGY CLINIC
NPI 1932619210
Family Medicine - Geriatric Medicine in Annandale, VA

Active since October 02, 2017
4216 EVERGREEN LN STE 121, ANNANDALE, VA 22003(301) 893-4124(703) 662-6165 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2020, May 9, 2020, Apr 25, 2018 (3 updates tracked since 2018).

About Annandale Gerontology Clinic NPPES

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

ANNANDALE GERONTOLOGY CLINIC (NPI 1932619210) is a healthcare organization registered as a geriatric medicine in Annandale, Virginia and active in the NPI registry since October 2017. The organization lists Jiho Choi, Owner/staff Physician, as its authorized official.

NPPES Registry Identity

NPI1932619210
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameANNANDALE GERONTOLOGY CLINIC
Location Address4216 EVERGREEN LN STE 121Annandale, VA 22003
Mailing Address4216 Evergreen Ln Ste 121Annandale, VA 22003-3256 · (301) 893-4124 · Fax (703) 662-6165
Phone(301) 893-4124
Fax(703) 662-6165
Organization SubpartNo
Authorized OfficialJiho ChoiOwner/staff Physician · (301) 893-4124
Enumeration DateOctober 2, 2017
Last NPPES UpdateJuly 1, 20203 updates tracked since enumeration
NPPES CertifiedJuly 1, 2020
✔ NPI 1932619210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in VA · 0101252858
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
4216 EVERGREEN LN STE 121, Annandale, VA 22003
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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

Other Providers at the Same Location NPPES 7

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

JIHO CHOI M.D.
Family Medicine (Geriatric Medicine)
4216 EVERGREEN LN STE 121
ANNANDALE, VA 22003
Fairfax County (301) 893-4124
LISA MARIE FISHER PT
Physical Therapist
4216 EVERGREEN LN STE 121
ANNANDALE, VA 22003
Fairfax County (571) 276-9337
SL HOLISTIC SERVICES LLC
Obstetrics & Gynecology (Gynecology)
4216 EVERGREEN LN STE 121
ANNANDALE, VA 22003
Fairfax County (703) 939-1722
WOO HYUNG SHIN
Acupuncturist
4216 EVERGREEN LN STE 121
ANNANDALE, VA 22003
Fairfax County (703) 591-3333
LITTLE RIVER PHYSICAL THERAPY LLC
Clinic/Center (Physical Therapy)
4216 EVERGREEN LN STE 121
ANNANDALE, VA 22003
Fairfax County (571) 276-9337
DR. JORGE I RAMALLO M.D.
Obstetrics & Gynecology
4216 EVERGREEN LN STE 121
ANNANDALE, VA 22003
Fairfax County (703) 434-0749
TEN PRO CLINIC
Family Medicine
4216 EVERGREEN LN STE 121
ANNANDALE, VA 22003
Fairfax County (703) 829-6162

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 Annandale Gerontology Clinic's NPI number?

The NPI number for Annandale Gerontology Clinic is 1932619210. It was assigned to this organization in the NPPES registry on October 2, 2017.

Where is Annandale Gerontology Clinic located?

Annandale Gerontology Clinic is located at 4216 Evergreen Ln Ste 121, Annandale, VA 22003. The listed phone number is (301) 893-4124.

What is Annandale Gerontology Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Annandale Gerontology Clinic was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.