Organization Active NPI

Superb Pain Management Center

  • Gerontology Nurse Practitioner
  • Towson, MD
National Provider Identifier
1891575411
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
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

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Valdane Eleonu Robinson, CRNPNPI 1245631241
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)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20231121000604 MD Part B Supplier - Clinic/Group Practice 7012365646 Receives reassigned benefits from 3 practitioners
Practice locations: Towson, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2302336Superb Pain Management Center110 West Rd #350, Towson, MD 21204AccreditationJan 13, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.