Healthcare Provider Details

I. General information

NPI: 1952389793
Provider Name (Legal Business Name): ROBERT DA ROSSO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ROBERT C DAROSSO MD

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 09/06/2025
Certification Date: 09/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10750 COLUMBIA PIKE STE 230
SILVER SPRING MD
20901-4454
US

IV. Provider business mailing address

10750 COLUMBIA PIKE STE 230
SILVER SPRING MD
20901-4454
US

V. Phone/Fax

Practice location:
  • Phone: 301-585-9600
  • Fax: 301-585-5888
Mailing address:
  • Phone: 301-585-9600
  • Fax: 301-585-5888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number174803
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0082579
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier01761004
Identifier TypeMEDICAID
Identifier StateNY
Identifier Issuer
# 2
Identifier822306800
Identifier TypeMEDICAID
Identifier StateMD
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: