NPIMap

Organization Active NPI

Ukuaji Medical

  • Family Medicine Physician
  • Bel Air, MD
National Provider Identifier
1427835875
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UKUAJI MEDICAL
Doing business as
Chesapeake Telemedicine
Practice address
2214 Old Emmorton Rd Ste 210
Bel Air, MD 21015-6470
Phone
(443) 402-1139
Fax
(410) 638-2489
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Credentialing Director
Title
Credentialing Director
Phone
(443) 402-1139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2214 Old Emmorton Rd Ste 210
Bel Air, MD 21015-6470

Mailing address

2214 Old Emmorton Rd
Bel Air, MD 21015-6470

Other names 1

  • Chesapeake Telemedicine Doing business as

National Provider Directory

National Provider Directory

Locations

2214 Old Emmorton Rd
Ste 210
Bel Air, MD 21015
Phone (410) 227-8727

2214 Old Emmorton Rd
Bel Air, MD 21015

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1427835875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 OLD EMMORTON RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 OLD EMMORTON RD STE 210",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156470",
            "telephone_number": "443-402-1139",
            "fax_number": "410-638-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UKUAJI MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "DIRECTOR",
        "authorized_official_first_name": "CREDENTIALING",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "443-402-1139"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake Telemedicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.