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ALBUQUERQUE UROLOGY ASSOCIATES, PA
NPI 1376569921
Urology in Albuquerque, NM

Active since July 15, 2006
610 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102(505) 242-3991(505) 243-8405 Get Directions Write a Review

NPPES record last updated: July 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Albuquerque Urology Associates, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALBUQUERQUE UROLOGY ASSOCIATES, PA (NPI 1376569921) is a healthcare organization registered as an urology in Albuquerque, New Mexico and active in the NPI registry since July 2006. The organization lists Jonathan Edward Lackner, Partner / M.d., as its authorized official.

NPPES Registry Identity

NPI1376569921
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameALBUQUERQUE UROLOGY ASSOCIATES, PA
Location Address610 BROADWAY BLVD NEAlbuquerque, NM 87102-2372
Mailing Address610 Broadway Blvd NeAlbuquerque, NM 87102-2372 · (505) 242-3991
Phone(505) 242-3991
Fax(505) 243-8405
Organization SubpartNo
Authorized OfficialJonathan Edward LacknerPartner / M.d. · (505) 242-3991
Enumeration DateJuly 15, 2006
Last NPPES UpdateJuly 31, 2013
✔ NPI 1376569921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 6682460001 (NM)
610 BROADWAY BLVD NE, Albuquerque, NM 87102
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Other Identifiers 3

Medicaid44361NM
OtherCS1373NM · Railroad Medicare
Medicare NSC6682460001NM

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DERMATOLOGY OF NEW MEXICO LLC
Clinic/Center
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 225-2500
DR. PETER ABRAHAM HEADLEY M.D.
Urology
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991
DR. VAUN TAYLOR FLOYD JR. M.D.
Urology
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991
DEITRA GATES CNS
Clinical Nurse Specialist (Adult Health)
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991
BRADLEY WALTERS PAC
Physician Assistant
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 225-2500
DR. STEFAN H. GUTOW M.D.
Specialist
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991
SHELLY ANN MINISH PA-C
Physician Assistant (Medical)
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991
JAMIE F EDENS PA-C
Physician Assistant (Medical)
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Albuquerque Urology Associates, PA's NPI number?

The NPI number for Albuquerque Urology Associates, PA is 1376569921. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Albuquerque Urology Associates, PA located?

Albuquerque Urology Associates, PA is located at 610 Broadway Blvd NE, Albuquerque, NM 87102. The listed phone number is (505) 242-3991.

What is Albuquerque Urology Associates, PA's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Albuquerque Urology Associates, PA was last updated on July 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.