Individual provider Active NPI

Emily Porter Gerson, MD

  • Dermatology Physician
  • Washington, DC
National Provider Identifier
1649281122
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D61064 Issued in MD
Practice address
4910 Massachusetts Ave NW Ste 302
Washington, DC 20016-4388
Phone
(202) 991-9000
Fax
(202) 793-4900
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D61064 MD Primary

Addresses

Primary practice location

4910 Massachusetts Ave NW Ste 302
Washington, DC 20016-4388

Mailing address

4910 Massachusetts Ave NW Ste 302
Washington, DC 20016-4388
Phone (202) 991-9000

Other identifiers 2

IdentifierTypeStateIssuer
MD034213OtherDCDC MD LICENSE
1F1388OtherDCPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315001651 DC Order and Referring Only - DermatologyPractitioner - Dermatology 0143217307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ramin Farboud MD PC PastSince Jul 9, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1649281122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW STE 302",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164388",
            "telephone_number": "202-991-9000",
            "fax_number": "202-793-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW STE 302",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164388",
            "telephone_number": "202-991-9000",
            "fax_number": "202-793-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSON",
        "first_name": "EMILY",
        "middle_name": "PORTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D61064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC MD LICENSE",
            "identifier": "MD034213",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1F1388",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.