NPIMap

Organization Active NPI

Novus Pain Management - Maryland, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Severna Park, MD
National Provider Identifier
1720440449
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
NOVUS PAIN MANAGEMENT - MARYLAND, LLC
Practice address
310 Genesis Way
Severna Park, MD 21146-1762
Phone
(301) 722-0484
Fax
(833) 903-0130
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Ms. Heather Robosson
Title
Practice Manager
Phone
(240) 727-3995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

310 Genesis Way
Severna Park, MD 21146-1762

Mailing address

157 Baltimore St Ste 100
Cumberland, MD 21502-2472
Phone (301) 722-0484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160415001610 MD Part B Supplier - Clinic/Group Practice 7416255963 Receives reassigned benefits from 25 practitioners
Practice locations: Frederick, MD; Hagerstown, MD; Frostburg, MD; Glen Burnie, MD; Havre de Grace, MD; Hyattsville, MD; La Plata, MD; Laurel, MD…
O20160621002470 DC Part B Supplier - Clinic/Group Practice 7416255963 Receives reassigned benefits from 20 practitioners
Practice locations: Silver Springs, MD; Silver Spring, MD; Laurel, MD; Hyattsville, MD; Forestville, MD

National Provider Directory

National Provider Directory

Locations

985 9th Ave SW
Ste 507
Bessemer, AL 35022
Phone (205) 481-7485

157 Baltimore St
Ste 100
Cumberland, MD 21502
Phone (240) 727-3995

157 Baltimore St
Ste 104
Cumberland, MD 21502

157 Baltimore St
Ste 400
Cumberland, MD 21502

891 Dorsey Hotel Rd
Grantsville, MD 21536
Phone (301) 895-5194

1700 Market St
Camp Hill, PA 17011
Phone (717) 737-8551

Practitioners & affiliated clinicians

Practitioners 34

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 34

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1720440449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BALTIMORE ST STE 100",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022472",
            "telephone_number": "301-722-0484",
            "fax_number": "833-903-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GENESIS WAY",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461762",
            "telephone_number": "301-722-0484",
            "fax_number": "833-903-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUS PAIN MANAGEMENT - MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "ROBOSSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "240-727-3995",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.