Active NPI
Gerald W Newman MD LLC
- Dermatology Physician
- Annapolis, MD
National Provider Identifier
1396043402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D40092
- Legal business name
- GERALD W NEWMAN MD LLC
- Practice address
- 2002 Medical Pkwy
Suite 650
Annapolis, MD 21401-3046 - Phone
- (410) 224-8001
- Fax
- (410) 224-8002
- NPI assigned
- Mar 14, 2011
- 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. Gerald W Newman, MD
- Title
- Owner
- Phone
- (410) 224-8001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D40092 | MD | Primary |
Addresses
Primary practice location
2002 Medical Pkwy
Suite 650
Annapolis, MD 21401-3046
Mailing address
2002 Medical Pkwy
Suite 650
Annapolis, MD 21401-3046
Phone (410) 224-8001
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D40092 | Other | MD | LISCENSE NUMBER |
| 409R | Other | MEDICARE # | |
| 1154301331 | Other | PERSONAL NPI NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300060800000",
"number": "1396043402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 MEDICAL PKWY",
"address_2": "SUITE 650",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013046",
"telephone_number": "410-224-8001",
"fax_number": "410-224-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 MEDICAL PKWY",
"address_2": "SUITE 650",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013046",
"telephone_number": "410-224-8001",
"fax_number": "410-224-8002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERALD W NEWMAN MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-14",
"last_updated": "2011-03-14",
"status": "A",
"authorized_official_last_name": "NEWMAN",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-224-8001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "MD",
"license": "D40092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENSE NUMBER",
"identifier": "D40092",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE #",
"identifier": "409R",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI NUMBER",
"identifier": "1154301331",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.