Organization Active NPI

Robinson & Max Dermatology P.a.

  • Dermatology Physician
  • Lutherville, MD
National Provider Identifier
1477669497
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0026939 Issued in MD
Legal business name
ROBINSON & MAX DERMATOLOGY P.A.
Practice address
101 W Ridgely Rd
Suite 4B
Lutherville, MD 21093-5101
Phone
(410) 561-1960
Fax
(410) 560-3497
NPI assigned
Aug 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Howard Neil Robinson, M.D.NPI 1922034925
Title
President
Phone
(410) 561-1960

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)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0026939 MD Primary

Addresses

Primary practice location

101 W Ridgely Rd
Suite 4B
Lutherville, MD 21093-5101

Mailing address

101 W Ridgely Rd
Suite 4B
Lutherville, MD 21093-5101
Phone (410) 561-1960

Other identifiers 3

IdentifierTypeStateIssuer
CI7619OtherMDRAILROAD MEDICARE
KE39ROOtherMDBLUE CROSS BLUE SHIELD MD
R270OtherDCBLUESHIELD DC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100209000037 MD Part B Supplier - Clinic/Group Practice 6901949254 Receives reassigned benefits from 5 practitioners
Practice locations: Lutherville, 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
21D0215348Robinson & Max Dermatology, PA101 W Ridgely Rd #4B, Lutherville, MD 21093ComplianceOct 12, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477669497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W RIDGELY RD",
            "address_2": "SUITE 4B",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935101",
            "telephone_number": "410-561-1960",
            "fax_number": "410-560-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W RIDGELY RD",
            "address_2": "SUITE 4B",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935101",
            "telephone_number": "410-561-1960",
            "fax_number": "410-560-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINSON & MAX DERMATOLOGY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-561-1960",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0026939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI7619",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MD",
            "identifier": "KE39RO",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD DC",
            "identifier": "R270",
            "state": "DC"
        }
    ],
    "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 Aug 22, 2020; 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.