NPIMap

Organization Active NPI

Englert Dermatology LLC

  • Dermatology Physician
  • Sparks Glencoe, MD
National Provider Identifier
1730361940
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ENGLERT DERMATOLOGY LLC
Practice address
10 Fila Way
Suite 205
Sparks Glencoe, MD 21152
Phone
(410) 569-5151
Fax
(410) 569-1131
NPI assigned
Nov 29, 2007
Last updated
Aug 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Mr. Christopher J Englert, CRNPNPI 1578651485
Title
Owner, CRNP
Phone
(410) 569-5151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

10 Fila Way
Suite 205
Sparks Glencoe, MD 21152

Mailing address

P O Box 791079
Baltimore, MD 21279
Phone (410) 569-5151

National Provider Directory

National Provider Directory

Locations

7505 Osler Dr
Ste 308
Towson, MD 21204
Phone (410) 296-1464

Practitioners & affiliated clinicians

Practitioners 3

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": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1730361940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 791079",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21279",
            "telephone_number": "410-569-5151",
            "fax_number": "410-569-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FILA WAY",
            "address_2": "SUITE 205",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "21152",
            "telephone_number": "410-569-5151",
            "fax_number": "410-569-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLERT DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "ENGLERT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER, CRNP",
        "authorized_official_telephone_number": "410-569-5151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks Glencoe, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.