Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Stacy Lauren Lederman Niederman, PA-C

Individual provider Physician Assistant · NPI 1205234069

Mrs. Stacy Lauren Lederman Niederman, PA-C is a Physician Assistant in Falls Church, Virginia. Qualified in 2013, 13 years ago. Practices with Orthovirginia Inc, a 570-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
13
Licensed in
VA
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone: (703) 776-8682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8501 Arlington Blvd Ste 200, Fairfax, VA 22031-4625 — (571) 472-6464

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110-004804 (VA)

Record details

NPI number1205234069
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 10, 2014
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Orthovirginia Inc — 570 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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