Jennifer Staley (NPI# 1053864918, PAC ID# 8426336579) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053864918 |
| PAC ID by PECOS | 8426336579 |
| Professional Enrollment ID | I20161025001905 |
| Full Name | Jennifer Staley |
| Organization Legal Name | NMG AFFILIATE PRACTICE I, LLC |
| Address |
10945 George Mason Cir Suite 105 Manassas VA 20110-2233 |
| Phone Number | 7033615116 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4688587967 |
| Number of Group Practice Members | 128 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490144 | NOVANT HEALTH UVA HEALTH HAYMARKET MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 14540 John Marshall Hwy, Suite 104, Gainesville, VA 20155-1693 | 7037539799 | NMG AFFILIATE PRACTICE I, LLC |
| 10945 George Mason Cir, Suite 105, Manassas, VA 20110-2233 | 7033615116 | NMG AFFILIATE PRACTICE I, LLC |
| Organization Legal Name | NMG AFFILIATE PRACTICE I, LLC |
| Physicians | 110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca A Rehmann | Family Medicine | Nmg Affiliate Practice I, LLC | 6208 Multiplex Dr, Suite 150, Centreville, VA 20121-5324 |
| Sonia Parker | Nurse Practitioner | Nmg Affiliate Practice I, LLC | 7915 Lake Manassas Dr, Suite 205, Gainesville, VA 20155-3260 |
| Donald J Dudley | Medical Oncology | Nmg Affiliate Practice I, LLC | 15195 Heathcote Blvd, Suite 320, Haymarket, VA 20169-6244 |
| Evelyn R Saldana | Nurse Practitioner | Nmg Affiliate Practice I, LLC | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 |
| Dana D Mohl | Nurse Practitioner | Nmg Affiliate Practice I, LLC | 480 Fletcher Dr, Suite 3, Warrenton, VA 20186-2185 |
| Susan B Campbell | Nurse Practitioner | Nmg Affiliate Practice I, LLC | 8640 Sudley Rd, Suite 203, Manassas, VA 20110-4404 |
| Pradnya P Shirsolkar | Family Medicine | Nmg Affiliate Practice I, LLC | 25055 Riding Plz, Suite 220, South Riding, VA 20152-5920 |
| Imran Akram | Psychiatry | Nmg Affiliate Practice I, LLC | 8680 Hospital Way, Manassas, VA 20110-4287 |
| Steven J Tang | Family Medicine | Nmg Affiliate Practice I, LLC | 14540 John Marshall Hwy, Suite 104, Gainesville, VA 20155-1693 |
| Victoria C Hammonds | Family Medicine | Nmg Affiliate Practice I, LLC | 10322 Bristow Ctr Dr, Bristow, VA 20136-2201 |
| Street Address |
10945 GEORGE MASON CIR SUITE 105 |
| City | MANASSAS |
| State | VA |
| Zip | 20110-2233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deepti Mahajan | Internal Medicine | Nmg Affiliate Practice I, LLC | 10945 George Mason Cir, Suite 105, Manassas, VA 20110-2233 |
| Thomas Charles Dotson | Internal Medicine | Nmg Affiliate Practice I, LLC | 10945 George Mason Cir, Suite 105, Manassas, VA 20110-2233 |
| Christine L Cardone | Nurse Practitioner | Nmg Affiliate Practice I, LLC | 10945 George Mason Cir, Suite 105, Manassas, VA 20110-2233 |
| Gilbert Irwin | Internal Medicine | Nmg Affiliate Practice I LLC | 10945 George Mason Cir, Manassas, VA 20110-2233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Syamala K Naroji | Obstetrics/gynecology | 8071 Digges Rd, Manassas, VA 20110 | |
| Eugene H Kim | Nephrology | Kidney and Hypertension Specialists, Pllc | 9378 Forestwood Lane E, Manassas, VA 20110 |
| Rashida K Rahman | Nephrology | Kidney and Hypertension Specialists, Pllc | 9378 Forestwood Lane E, Manassas, VA 20110 |
| Jay J Lee | Optometry | 9405 Liberia Ave, Manassas, VA 20110-1718 | |
| Sofia Naz Ahmad | Optometry | Advanced Ophthalmology,inc | 9161 Liberia Ave, Suite 405, Manassas, VA 20110-1723 |
| Babur B Lateef | Ophthalmology | Advanced Ophthalmology,inc | 9161 Liberia Ave, Suite 405, Manassas, VA 20110-1723 |
| Lisa H Kerrigan | Physical Therapy | Advantage Physical Therapy and Rehabilitation LLC | 9161 Liberia Ave, Suite 205, Manassas, VA 20110-1725 |
| Salma Chakhachirou | Optometry | Manassas Optometry, LLC | 9675 Liberia Ave, Suite 220, Manassas, VA 20110-1741 |
| Rosemary Clara Nzeogu | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 9705 Liberia Ave, Suite 201, Manassas, VA 20110-1744 |
| Jennifer Leigh Folks | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 9705 Liberia Ave, Suite 201, Manassas, VA 20110-1744 |
| Find all physicians in zip 20110 | |||
| City | MANASSAS |
| Zip Code | 20110 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MANASSAS + 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.