Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
FAIRFAX NEONATAL ASSOCIATES, LLC
Active
Organization
FAIRFAX NEONATAL ASSOCIATES, LLC
Active
Other names
Fairfax Neonatal Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY EDWARD BENGSTON (EVP, COO)
(703) 289-1422
Entity
Organization
Contact information
Practice address
3060 WILLIAMS DRIVE, SUITE 520, FAIRFAX, VA 22031-4648
(703) 289-1400
(703) 289-1414
Mailing address
3060 WILLIAMS DRIVE, SUITE 520, FAIRFAX, VA 22031-4648
(703) 289-1400
(703) 289-1414
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
NULL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
2080P0214X
Pediatric Pulmonology Physician
—
NULL
2080P0214X
Pediatric Pulmonology Physician
—
—
Other
Enumeration date
04/27/2006
Last updated
05/21/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers