Mary J Bozzelli (NPI# 1871662338, PAC ID# 1951402932) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1871662338 |
| PAC ID by PECOS | 1951402932 |
| Professional Enrollment ID | I20070720000170 |
| Full Name | Mary J Bozzelli |
| Organization Legal Name | ENDOCRINE AND DIABETES CENTER P.C. |
| Address |
301 Maple Ave West Vienna VA 22180-4303 |
| Phone Number | 7039388885 |
| Gender | F |
| Graduation Year | 1994 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8224008891 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490113 | SENTARA NORTHERN VIRGINIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 301 Maple Ave West, Vienna, VA 22180-4303 | 7039388885 | ENDOCRINE AND DIABETES CENTER P.C. |
| 301 Maple Ave West, Suite 120, Vienna, VA 22180-4303 | 7039388885 | ENDOCRINE AND DIABETES CENTER P.C. |
| Organization Legal Name | ENDOCRINE AND DIABETES CENTER P.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward G Movius | Internal Medicine | Endocrine and Diabetes Center P.C. | 301 Maple Ave W, Suite 120, Vienna, VA 22180-4303 |
| Ali M Safa | Endocrinology | Endocrine and Diabetes Center P.C. | 301 Maple Ave W, Suite 120, Vienna, VA 22180-4303 |
| Street Address |
301 MAPLE AVE WEST |
| City | VIENNA |
| State | VA |
| Zip | 22180-4303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Cassella | Optometry | Vienna Optometry, LLC | 401 Maple Ave W, Vienna, VA 22180-4222 |
| Sahar Moghadam Emami | Optometry | Vienna Optometry, LLC | 401 Maple Ave W, Vienna, VA 22180-4222 |
| John F Dobricky | Clinical Social Worker | 513 Maple Ave W, Second Floor, Vienna, VA 22180-4229 | |
| Brandon R Lemuel | Chiropractic | 301 Maple Ave W, Suite 515, Vienna, VA 22180-4301 | |
| Hazem A Elariny | General Surgery | 301 Maple Ave W, Suite 330, Vienna, VA 22180-4301 | |
| Seddigheh A Feisee | Internal Medicine | 301 Maple Ave W, Suite 420, Vienna, VA 22180-4301 | |
| Peter J Mcgarry | Chiropractic | Dr Brandon R Lemuel Dc PC | 301 Maple Ave W, Suite 515, Vienna, VA 22180-4301 |
| Edward G Movius | Internal Medicine | Endocrine and Diabetes Center P.C. | 301 Maple Ave W, Suite 120, Vienna, VA 22180-4303 |
| Ali M Safa | Endocrinology | Endocrine and Diabetes Center P.C. | 301 Maple Ave W, Suite 120, Vienna, VA 22180-4303 |
| Apryl Jann Ting Bacalso | Physical Therapy | Ascend Physical Therapy and Wellness Inc. | 307 Maple Ave W, Suite D, Vienna, VA 22180-4307 |
| Find all physicians in zip 22180 | |||
| City | VIENNA |
| Zip Code | 22180 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | VIENNA + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.