BEL AIR PEDIATRIC CENTER HAVRE DE GRACE PEDIATRIC CENTER – NPI #1407980717
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

BEL AIR PEDIATRIC CENTER HAVRE DE GRACE PEDIATRIC CENTER is a provider located in BEL AIR, MD. NPPES has assigned the NPI number 1407980717 to BEL AIR PEDIATRIC CENTER HAVRE DE GRACE PEDIATRIC CENTER on March 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEL AIR PEDIATRIC CENTER HAVRE DE GRACE PEDIATRIC CENTER” is a dba name, the actual legal business name for this organization is GOMEZ YIM & RASTOGI, M.D., P.A.. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Nov 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEL AIR PEDIATRIC CENTER HAVRE DE GRACE PEDIATRIC CENTER below.

NPI Profile for
GOMEZ YIM & RASTOGI, M.D., P.A.

NPI Number
1407980717
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GOMEZ YIM & RASTOGI, M.D., P.A.
Doing Business As (dba): BEL AIR PEDIATRIC CENTER HAVRE DE GRACE PEDIATRIC CENTER
Primary location
602 S ATWOOD RD STE 104
BEL AIR, MD 21014-4198
Phone: (410) 838-9555 Fax: (410) 836-5056
1 Other location(s):
253 Lewis Ln Ste 203
Havre DE Grace, MD 21078-3756
Phone: (410) 939-0696
Fax: (410) 939-6210
Mailing address
602 S. ATWOOD ROAD
SUITE 104
BEL AIR, MD 21014
Phone: (410) 838-9555 Fax: (410) 836-5056
Organization Subpart
No
Authorized Official
ROBERT YIM
OWNER
Phone: (410) 838-9555
Updated
Certification Date
Nov 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BEL AIR PEDIATRIC CENTER HAVRE DE GRACE PEDIATRIC CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMD226381500
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.