Active NPI
Jorge R Toro, M.D.
- Dermatology Physician
- Rockville, MD
National Provider Identifier
1770715492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D0055151
- Practice address
- 6120 Executive Blvd
Exectuive Plaza South Suite 7012
Rockville, MD 20852-4906 - Phone
- (249) 042-6851
- Fax
- (301) 402-4489
- NPI assigned
- Aug 13, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D0055151 | MD | Primary |
| Procedural Dermatology Physician | 207NS0135X | D0055151 | MD |
Addresses
Primary practice location
6120 Executive Blvd
Exectuive Plaza South Suite 7012
Rockville, MD 20852-4906
Mailing address
6120 Executive Blvd.
Executive Plaza South 7012
Rockville, MD 20852-4906
Phone (240) 426-8513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0055151 | MD | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | 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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250121600000",
"number": "1770715492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6120 EXECUTIVE BLVD.",
"address_2": "EXECUTIVE PLAZA SOUTH 7012",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524906",
"telephone_number": "240-426-8513",
"fax_number": "301-402-4489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 EXECUTIVE BLVD",
"address_2": "EXECTUIVE PLAZA SOUTH SUITE 7012",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524906",
"telephone_number": "249-042-6851",
"fax_number": "301-402-4489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORO",
"first_name": "JORGE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-13",
"last_updated": "2009-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MD",
"license": "D0055151",
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "MD",
"license": "D0055151",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 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.