Bel Air Family Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BEL AIR FAMILY CARE LLC

Practice address

2014 S Tollgate Rd Ste 211-212
Bel Air, MD 21015-5903

Phone

(410) 670-9200

Fax

(410) 670-9201

NPI assigned

Oct 19, 2017

Organization subpart

No

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

Authorized official

Name

Yuvraj Kamboj, MD

Title

Authorized Official

Phone

(410) 670-9200

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17025/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1063923886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 SIDEHILL DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156364",
            "telephone_number": "410-670-9200",
            "fax_number": "410-670-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 S TOLLGATE RD STE 211-212",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155903",
            "telephone_number": "410-670-9200",
            "fax_number": "410-670-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEL AIR FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "KAMBOJ",
        "authorized_official_first_name": "YUVRAJ",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "410-670-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.