NPIMap

Organization Active NPI

Professional Management Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Baltimore, MD
National Provider Identifier
1144653288
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROFESSIONAL MANAGEMENT SERVICES, LLC
Practice address
707 Old Crossing Dr
Baltimore, MD 21208-3308
Phone
(410) 580-0255
Fax
(410) 486-2049
NPI assigned
Aug 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Herbert Paul Rosen, D.P.M.
Title
President
Phone
(410) 580-0255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

707 Old Crossing Dr
Baltimore, MD 21208-3308

Mailing address

1 Slade Ave
#405
Baltimore, MD 21208-5240
Phone (410) 580-0255

Other identifiers 1

IdentifierTypeStateIssuer
401992000OtherMDMEDICAL ASSISTANCE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1144653288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SLADE AVE",
            "address_2": "#405",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212085240",
            "telephone_number": "410-580-0255",
            "fax_number": "888-241-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 OLD CROSSING DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083308",
            "telephone_number": "410-580-0255",
            "fax_number": "410-486-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-580-0255",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "401992000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.