Active NPI
DRS. Ford and Rothman Cosmetic and Clinical Dermatology, LLC
- Dermatology Physician
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D0044738
- Legal business name
- DRS. FORD AND ROTHMAN COSMETIC AND CLINICAL DERMATOLOGY, LLC
- Practice address
- 6 Montgomery Village Ave
Suite 322
Gaithersburg, MD 20879-3546 - Phone
- (301) 977-2070
- Fax
- (301) 330-9452
- NPI assigned
- Nov 20, 2006
- Last updated
- Aug 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roni W Ford, MD
- Title
- Partner
- Phone
- (301) 977-2070
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D0044738 | MD | Primary |
Addresses
Primary practice location
6 Montgomery Village Ave
Suite 322
Gaithersburg, MD 20879-3546
Mailing address
6 Montgomery Village Ave
Suite 322
Gaithersburg, MD 20879-3546
Phone (301) 977-2070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
18310 Montgomery Village Ave
Ste 700
Gaithersburg, MD 20879
Phone (301) 977-2070
19211 Montgomery Village Ave
Ste B12
Montgomry Vlg, MD 20886
Phone (240) 477-5452
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatopathology (Pathology) Physician
- Rockville, MD
- NPI 1982893046
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408492800000",
"number": "1205900537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 MONTGOMERY VILLAGE AVE",
"address_2": "SUITE 322",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793546",
"telephone_number": "301-977-2070",
"fax_number": "301-330-9452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MONTGOMERY VILLAGE AVE",
"address_2": "SUITE 322",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793546",
"telephone_number": "301-977-2070",
"fax_number": "301-330-9452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS. FORD AND ROTHMAN COSMETIC AND CLINICAL DERMATOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2014-08-20",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "RONI",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "301-977-2070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MD",
"license": "D0044738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.