Active NPI
Um FDSP Associates, P.a.
- Dentist
- Rockville, MD
National Provider Identifier
1487286050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- UM FDSP ASSOCIATES, P.A.
- Practice address
- 9631 Gudelsky Drive
Suite 2135
Rockville, MD 20850 - Phone
- (240) 665-6700
- Fax
- (410) 706-3028
- NPI assigned
- Feb 11, 2020
- Last updated
- Nov 27, 2023
- 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
- Elyse B Markwitz
- Title
- Dir. of Medical Credentialing & Qa
- Phone
- (410) 706-5806
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | Primary |
Addresses
Primary practice location
9631 Gudelsky Drive
Suite 2135
Rockville, MD 20850
Mailing address
650 W Baltimore St RM 5201
Baltimore, MD 21201-1510
Phone (410) 706-5806
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://shadygrove.umd.edu/ | U M FDSP Associates PA |
National Provider Directory
National Provider Directory- Tax ID family
- Um FDSP Associates PA
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Baltimore, MD
- NPI 1104909449
-
dba Oral Pathology Consultants
- Oral and Maxillofacial Pathology Dentistry
- Baltimore, MD
- NPI 1316021355
-
- Dentist
- Baltimore, MD
- NPI 1831780253
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Rockville, MD
- NPI 1508111907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1487286050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 W BALTIMORE ST RM 5201",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011510",
"telephone_number": "410-706-5806",
"fax_number": "410-706-3028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9631 GUDELSKY DRIVE",
"address_2": "SUITE 2135",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20850",
"telephone_number": "240-665-6700",
"fax_number": "410-706-3028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UM FDSP ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-11",
"last_updated": "2023-11-27",
"certification_date": "2020-02-11",
"status": "A",
"authorized_official_last_name": "MARKWITZ",
"authorized_official_first_name": "ELYSE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DIR. OF MEDICAL CREDENTIALING & QA",
"authorized_official_telephone_number": "410-706-5806"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://shadygrove.umd.edu/",
"affiliation": "Y",
"affiliationName": "U M FDSP Associates PA",
"address_1": "9631 Gudelsky Drive",
"address_2": "Suite 2135",
"city": "Rockville",
"state": "MD",
"country_code": "US",
"postal_code": "20850",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.