BNM, INC. (NPI# 1033535778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033535778 |
| Entity Type | Organization |
| Organization Name | BNM, INC. |
| Other Organization Name | MY KID'S PEDIATRICS AND ADOLESCENT CARE |
| Practice Address |
12011 Lee Jackson Memorial Hwy Suite 220 Fairfax VA 22033-3310 |
| Practice Telephone | 7038655437 |
| Mailing Telephone | 7038655437 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-05-05 |
| Authorized Official Name | DR. CHRISTINA SOH YUN JUNG (PRESIDENT) |
| Authorized Official Telephone | 7038655437 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1639326796 | 05 | |
| MD | 556505700 | 05 |
| Other Name | Type Code |
|---|---|
| My Kid's Pediatrics and Adolescent Care | Doing Business As Name - Organization |
| Street Address |
12011 LEE JACKSON MEMORIAL HWY SUITE 220 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831171800 | Jason Mark Rashkin | Internal Medicine | 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033-3310 | 2005-11-16 |
| 1376013391 | Nan Liu | Acupuncturist | 12011 Lee Jackson Memorial Hwy, Suite #320, Fairfax, VA 22033 | 2018-12-03 |
| 1982195939 | Eduardo Jose Dominguez | Specialist/Technologist, Other | 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2018-05-25 |
| 1962836072 | Rk Dental Care | Dentist | 12011 Lee Jackson Memorial Hwy, Suite 502, Fairfax, VA 22033-3310 | 2013-08-26 |
| 1932447463 | Health Connect Ipa | Internal Medicine | 12011 Lee Jackson Memorial Hwy, Suite 504, Fairfax, VA 22033-3310 | 2013-01-17 |
| 1346591989 | Komal S. Karmacharya | Dentist | 12011 Lee Jackson Memorial Hwy, Suite 502, Fairfax, VA 22033-3310 | 2012-09-23 |
| 1598044042 | Oladapo Michael Onijala | Pharmacist | 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033-3310 | 2011-08-15 |
| 1972750032 | Rahmatullah Ishaqzay | Clinic/Center | 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033-3310 | 2008-08-20 |
| 1215193529 | Constantine Tziros | Internal Medicine | 12011 Lee Jackson Memorial Hwy, Penderbrook Medical Center, Fairfax, VA 22033-3310 | 2008-08-06 |
| 1033390356 | Paramount Care Physicians | Internal Medicine | 12011 Lee Jackson Memorial Hwy, Suite 230, Fairfax, VA 22033-3310 | 2007-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417223025 | Albert Moniz | Pediatrics | 11610 Valley Rd., Fairfax, VA 22033-2705 | 2012-03-28 |
| 1003180829 | Ho Chung Tu | Pediatrics | 3913 Old Lee Highway, Office No 31b, Fairfax, VA 22030 | 2012-02-24 |
| 1538480843 | Michelle Yun | Pediatrics | 8277 Adenlee Ave, Fairfax, VA 22031-4849 | 2010-06-21 |
| 1548588999 | Rachel Dana Rosenbaum-khitrik | Pediatrics | 13135 Lee Jackson Memorial Hwy Ste 201, Fairfax, VA 22033-1907 | 2010-05-10 |
| 1790011237 | Eman Alharbi | Pediatrics | 3308 Sydenham St Apt 202, Fairfax, VA 22031-4808 | 2009-10-18 |
| 1639326796 | Christina Jung | Pediatrics | 12011 Lee Jackson Memorial Hwy Ste 220, Fairfax, VA 22033-3310 | 2008-08-20 |
| 1700047909 | B.i.lee,m.d.,p.c. | Pediatrics | 8301 Arlington Blvd Ste 401, Fairfax, VA 22031-2902 | 2008-06-19 |
| 1316112972 | Megan E Mcinnis | Pediatrics | 3020 Hamaker Ct Ste 300, Fairfax, VA 22031-2220 | 2008-04-24 |
| 1386821536 | Melody Rose Unikel | Pediatrics | 3020 Hamaker Ct Ste 200, Fairfax, VA 22031 | 2008-01-29 |
| 1861676561 | Paul Alan Steinman | Pediatrics | 169 Willow Ave, Fairfax, CA 94930-1219 | 2007-12-18 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.