ROSS VAN ANTWERP DO MPH PA LASER CENTER OF MARYLAND
NPI 1356537443
Clinic/Center - Health Service in Severna Park, MD

Q: What is Ross Van Antwerp Do Mph PA Laser Center Of Maryland's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since September 21, 2007

484 RITCHIE HWY STE A, SEVERNA PARK, MD 21146(410) 544-4600(410) 544-0997 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Ross Van Antwerp Do Mph Pa Laser Center Of Maryland NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSS VAN ANTWERP DO MPH PA LASER CENTER OF MARYLAND (NPI 1356537443) is a healthcare organization registered as a health service in Severna Park, Maryland and active in the NPI registry since September 2007. The organization lists Ross James Vanantwerp, President, as its authorized official.

NPPES Registry Identity

NPI1356537443

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameROSS VAN ANTWERP DO MPH PA LASER CENTER OF MARYLAND

Location Address484 RITCHIE HWY STE ASeverna Park, MD 21146-2911

Mailing Address484 Ritchie Hwy Ste ASeverna Park, MD 21146-2961 · (410) 544-4600 · Fax (410) 544-0997

Phone(410) 544-4600

Fax(410) 544-0997

Organization SubpartNo

Authorized OfficialRoss James VanantwerpPresident · (410) 544-4600

Enumeration DateSeptember 21, 2007

Last NPPES UpdateMarch 30, 2009

✔ NPI 1356537443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

License✔ Licensed in MD · H0033830

484 RITCHIE HWY STE A, Severna Park, MD 21146

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Other Identifiers 2

Medicare PIN8581MD

Other8581RJMD · Grp

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ross Van Antwerp Do Mph Pa Laser Center Of Maryland is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ross Van Antwerp Do Mph PA Laser Center Of Maryland, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jared Mallalieu, D.O.

General Surgery

NPI 1033393996

484 RITCHIE HWY STE A
Severna Park, MD 21146

(410) 544-4600

✔ PECOSSame address

Ross Vanantwerp, D.O., M.P.H.

Internal Medicine

NPI 1790924512

1 PARK PLACE STE 325
Annapolis, MD 21401

(410) 995-8550

✔ PECOS6.7 mi

Hope Honigsberg, FNP-C

Nurse Practitioner

NPI 1619530342

10440 LITTLE PATUXENT PKWY STE 300
Columbia, MD 21044

(888) 731-8994

✔ PECOS19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ross Van Antwerp Do Mph PA Laser Center Of Maryland's NPI number?

The NPI number for Ross Van Antwerp Do Mph PA Laser Center Of Maryland is 1356537443. It was assigned to this organization in the NPPES registry on September 21, 2007.

Where is Ross Van Antwerp Do Mph PA Laser Center Of Maryland located?

Ross Van Antwerp Do Mph PA Laser Center Of Maryland is located at 484 Ritchie Hwy Ste A, Severna Park, MD 21146. The listed phone number is (410) 544-4600.

What is Ross Van Antwerp Do Mph PA Laser Center Of Maryland's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Ross Van Antwerp Do Mph PA Laser Center Of Maryland enrolled in Medicare?

Yes. Ross Van Antwerp Do Mph PA Laser Center Of Maryland is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ross Van Antwerp Do Mph PA Laser Center Of Maryland?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ross Van Antwerp Do Mph PA Laser Center Of Maryland, in General Surgery, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ross Van Antwerp Do Mph PA Laser Center Of Maryland was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.