Organization Active NPI

Skin Care Specialty Physicians, LLC

  • MOHS-Micrographic Surgery Physician
  • Lutherville, MD
National Provider Identifier
1477641447
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
Legal business name
SKIN CARE SPECIALTY PHYSICIANS, LLC
Practice address
1407 York Rd Ste 100a
Lutherville, MD 21093-6077
Phone
(410) 252-9090
Fax
(410) 494-7064
NPI assigned
Oct 11, 2006
Last updated
Jul 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Dr. Saif U. Syed, M.D.NPI 1053363341
Title
Doctor/Owner
Phone
(410) 252-9090

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0061664 MD
MOHS-Micrographic Surgery Physician 207ND0101X D0061664 MD
MOHS-Micrographic Surgery Physician 207ND0101X MD Primary
Dermatopathology Physician 207ND0900X D0061664 MD
Procedural Dermatology Physician 207NS0135X D0061664 MD
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

1407 York Rd Ste 100a
Lutherville, MD 21093-6077

Mailing address

1447 York Rd
Suite 301
Lutherville, MD 21093-6022
Phone (410) 252-9090

Other practice location 1

1447 York Rd.
Suite 301
Lutherville, MD 21093-6022
Phone (410) 252-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070222000273 MD Part B Supplier - Clinic/Group Practice 6608978622 Receives reassigned benefits from 18 practitioners
Practice locations: Lutherville, MD; Towson, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1032562Skin Care Specialty Physicians LLC1447 York Road Suite 301, Lutherville, MD 21093ComplianceFeb 22, 2028

National Provider Directory

National Provider Directory

Locations

6230 Old Dobbin Ln
Ste 140
Columbia, MD 21045
Phone (410) 252-9090

1407 York Rd
Ste 100
Lutherville Timonium, MD 21093
Phone (410) 321-8720

1407 York Rd
Ste 301100A
Lutherville Timonium, MD 21093

1407 York Rd
Ste 301
Timonium, MD 21093
Phone (443) 858-0541

485 Mount Prospect Ave
Newark, NJ 07104
Phone (973) 639-7546

485 Mount Prospect Ave
#1
Newark, NJ 07104

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1477641447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 YORK RD",
            "address_2": "SUITE 301",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936022",
            "telephone_number": "410-252-9090",
            "fax_number": "410-494-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 YORK RD STE 100A",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936077",
            "telephone_number": "410-252-9090",
            "fax_number": "410-494-7064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1447 York Rd.",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210936022",
            "country_code": "US",
            "telephone_number": "410-252-9090",
            "fax_number": "410-494-1670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKIN CARE SPECIALTY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "SAIF",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "410-252-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0061664",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MD",
            "license": "D0061664",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MD",
            "license": "D0061664",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MD",
            "license": "D0061664",
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.