Primecare Pediatrics

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

PRIMECARE PEDIATRICS

Practice address

201 E University Pkwy
33Rd St. Prof. BLDG., Suite 233
Baltimore, MD 21218-2829

Phone

(410) 554-2919

Fax

(410) 554-2570

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jay J Gopal, MDNPI 1407823776

Title

Ceo

Phone

(410) 554-2919

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jay J Gopal MD Doing business as

Tax ID family

Dr Jay Gopal MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Primecare Pediatrics

  • Non-Pharmacy Dispensing Site
  • Baltimore, MD
  • NPI 1326117276
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay J Gopal, MD

  • Pediatrics Physician
  • Baltimore, MD
  • NPI 1407823776
  NPD (past) Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270166400000",
    "number": "1285757971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E UNIVERSITY PKWY",
            "address_2": "33RD ST. PROF., BLDG, SUITE 233",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182829",
            "telephone_number": "410-554-2919",
            "fax_number": "410-554-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E UNIVERSITY PKWY",
            "address_2": "33RD ST. PROF. BLDG., SUITE 233",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182829",
            "telephone_number": "410-554-2919",
            "fax_number": "410-554-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2010-04-02",
        "status": "A",
        "authorized_official_last_name": "GOPAL",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-554-2919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GR. GOPAL INDETUAL NPI #",
            "identifier": "1407823776",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jay J Gopal MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Primary Care at Home of Maryland, LLC
• Prime Care Transformation Organization, LLC
• Prime Clinical Associates, LLC
• Prime Health Care Agency Inc
• Prime Medical Supply Co., Inc.
• Primecare Pediatrics
• Primehealth Behavioral Healthcare Services LLC
• Primemed LLC
• Annelle B Primm, M.D.
• Prince of Peace Healthcare Services Inc

• Pediatric Adolescent Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatric Adolescent Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.