Ellicott City Aesthetics LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ELLICOTT CITY AESTHETICS LLC

Practice address

11089 Resort Rd Ste 204
Ellicott City, MD 21042-2073

Phone

(410) 696-1388

NPI assigned

Oct 22, 2024

Organization subpart

No

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

Authorized official

Name

Sonia Singh

Title

Manager

Phone

(443) 570-7016

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robyn F James, MD

  • Specialist
  • Fort Washington, MD
  • NPI 1861561730
  Medicare reassignment NPD

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1487475539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11089 RESORT RD STE 204",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422073",
            "telephone_number": "410-696-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11089 RESORT RD STE 204",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422073",
            "telephone_number": "410-696-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLICOTT CITY AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-570-7016"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Physical Therapy LLC
• Elizabeths Home Care Services LLC
• Mohamed Elkady
• Jacquelyn Kiser Elkins, LCSW-C
• Ellicott Cir Acupuncture LLC
• Ellicott City Ambulatory Surgery Center, LLLP
• Ellicott City Anesthesia Associates, LLC
• Ellicott City Dialysis Center LLC
• Ellicott City Eye Care, Inc.
• Ellicott City Health LLC

• Dermatology Physician in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.