Individual provider Active NPI

Allen Judman, MD

  • Pediatrics Physician
  • Pikesville, MD
National Provider Identifier
1265166540
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0006101 Issued in MD
Practice address
11 Evan Way
Pikesville, MD 21208-1700
Phone
(410) 484-0194
NPI assigned
Jul 13, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0006101 MD Primary

Addresses

Primary practice location

11 Evan Way
Pikesville, MD 21208-1700

Mailing address

11 Evan Way
Pikesville, MD 21208-1700
Phone (410) 484-0194

Other identifiers 1

IdentifierTypeStateIssuer
1OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL gailmargolis@aol.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0006101MDMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1265166540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EVAN WAY",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081700",
            "telephone_number": "410-484-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 EVAN WAY",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081700",
            "telephone_number": "410-484-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDMAN",
        "first_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0006101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gailmargolis@aol.com",
            "affiliation": "N",
            "address_1": "11 Evan Way",
            "city": "Pikesville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212081700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.