Active NPI
Superb Pain Management Center
- Gerontology Nurse Practitioner
- Towson, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- SUPERB PAIN MANAGEMENT CENTER
- Practice address
- 110 West Rd Ste 350
Towson, MD 21204-2366 - Phone
- (410) 921-3100
- Fax
- (410) 337-2674
- NPI assigned
- Oct 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Valdane Eleonu Robinson, CRNP
- Title
- Owner
- Phone
- (410) 921-3100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
110 West Rd Ste 350
Towson, MD 21204-2366
Mailing address
110 West Rd Ste 350
Towson, MD 21204-2366
Phone (410) 921-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2302336 | Superb Pain Management Center | Accreditation | Jan 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
110 West Rd
Ste 350
Towson, MD 21204
Phone (410) 921-3100
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Towson, MD
- NPI 1245631241
-
- Acute Care Nurse Practitioner
- Reisterstown, MD
- NPI 1790414266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774310400000",
"number": "1891575411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 WEST RD STE 350",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042366",
"telephone_number": "410-921-3100",
"fax_number": "410-337-2674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 WEST RD STE 350",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042366",
"telephone_number": "410-921-3100",
"fax_number": "410-337-2674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERB PAIN MANAGEMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-02",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "VALDANE",
"authorized_official_middle_name": "ELEONU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-921-3100",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.