SUPERB PAIN MANAGEMENT CENTER
NPI 1891575411
Nurse Practitioner - Gerontology in Towson, MD

Active since October 02, 2023CLIA 21D2302336 · Accreditation
110 WEST RD STE 350, TOWSON, MD 21204(410) 921-3100(410) 337-2674 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2026, Jun 6, 2025, Oct 2, 2023 (3 updates tracked since 2023).

About Superb Pain Management Center NPPES

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

SUPERB PAIN MANAGEMENT CENTER (NPI 1891575411) is a healthcare organization registered as a gerontology in Towson, Maryland and active in the NPI registry since October 2023. The organization holds an CLIA Accreditation certificate valid through January 13, 2027 and lists Valdane Eleonu Robinson, Owner, as its authorized official.

NPPES Registry Identity

NPI1891575411
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameSUPERB PAIN MANAGEMENT CENTER
Location Address110 WEST RD STE 350Towson, MD 21204-2366
Mailing Address110 West Rd Ste 350Towson, MD 21204-2366 · (410) 921-3100 · Fax (410) 337-2674
Fax(410) 337-2674
Organization SubpartNo
Authorized OfficialValdane Eleonu RobinsonOwner · (410) 921-3100
Enumeration DateOctober 2, 2023
Last NPPES UpdateMarch 24, 20263 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
NPI 1891575411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
110 WEST RD STE 350, Towson, MD 21204

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 21D2302336

Superb Pain Management Center · Towson, MD
Active · expires Jan 13, 2027
CLIA Number21D2302336
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorDr. Lei Yeagley
Laboratory Phone(410) 921-3100
Laboratory LocationSuperb Pain Management Center110 West Rd #350, Towson, MD 21204
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Gerontology)
110 WEST RD STE 350
TOWSON, MD 21204

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 Superb Pain Management Center's NPI number?

The NPI number for Superb Pain Management Center is 1891575411. It was assigned to this organization in the NPPES registry on October 2, 2023.

Where is Superb Pain Management Center located?

Superb Pain Management Center is located at 110 West Rd Ste 350, Towson, MD 21204. The listed phone number is (410) 921-3100.

What is Superb Pain Management Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Does Superb Pain Management Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 21D2302336) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Superb Pain Management Center was last updated on March 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.