UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC.
NPI 1427210590
Clinic/Center - Student Health in Albuquerque, NM

Q: What is University Of New Mexico Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Active since June 30, 2008

415 THAXTON AVE SE, ALBUQUERQUE, NM 87102(505) 244-0334(505) 272-2043 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About University Of New Mexico Medical Group, Inc. NPPES

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

UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC. (NPI 1427210590) is a healthcare organization registered as a student health in Albuquerque, New Mexico and active in the NPI registry since June 2008. The organization lists Anthony Masciotra, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427210590

Entity TypeOrganization

Primary Taxonomy261QS1000X

Legal Business NameUNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC.

Location Address415 THAXTON AVE SEAlbuquerque, NM 87102-4855

Mailing AddressUniversity Of New Mexico School Based Health Ctrs, Msc09 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-0457 · Fax (505) 272-2043

Phone(505) 244-0334

Fax(505) 272-2043

Organization SubpartNo

Authorized OfficialAnthony MasciotraCeo · (505) 272-8950

Enumeration DateJune 30, 2008

✔ NPI 1427210590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities

Taxonomy Code261QS1000X

License✔ Licensed in NM · PA 2004-0048

415 THAXTON AVE SE, Albuquerque, NM 87102

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Other Identifiers 1

Medicaid3A06NM

Other Providers at the Same Location NPPES

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

TRACY BALK OT

Occupational Therapist

415 THAXTON AVE SE, EAST SAN JOSE ES
ALBUQUERQUE, NM 87102

Bernalillo County (505) 764-2005

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 University Of New Mexico Medical Group, Inc.'s NPI number?

The NPI number for University Of New Mexico Medical Group, Inc. is 1427210590. It was assigned to this organization in the NPPES registry on June 30, 2008.

Where is University Of New Mexico Medical Group, Inc. located?

University Of New Mexico Medical Group, Inc. is located at 415 Thaxton Ave SE, Albuquerque, NM 87102. The listed phone number is (505) 244-0334.

What is University Of New Mexico Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for University Of New Mexico Medical Group, Inc. was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.