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UNIVERSITY OF NEW MEXICO MEDICAL GROUP. INC.
NPI 1568623502
Clinic/Center - Student Health in Albuquerque, NM

Active since June 23, 2008
1101 PARK AVE SW, ALBUQUERQUE, NM 87102(505) 248-1116 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 1568623502) 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

NPI1568623502
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameUNIVERSITY OF NEW MEXICO MEDICAL GROUP. INC.
Location Address1101 PARK AVE SWAlbuquerque, NM 87102-2967
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) 248-1116
Organization SubpartNo
Authorized OfficialAnthony MasciotraCeo · (505) 272-8950
Enumeration DateJune 23, 2008
✔ NPI 1568623502 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 · R35040
1101 PARK AVE SW, Albuquerque, NM 87102
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Other Identifiers 1

Medicaid3A05NM

Other Providers at the Same Location NPPES 3

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

MRS. LYDIA MONTES DE OCA LMSW
Social Worker (School)
1101 PARK AVE SW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 764-2000
YVONNE M SOTO-GOMEZ SLP
Speech-Language Pathologist
1101 PARK AVE SW, WASHINGTON MS
ALBUQUERQUE, NM 87102
Bernalillo County (505) 764-2000
BRITTANY HAMMER SLP-CF
Speech-Language Pathologist
1101 PARK AVE SW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 764-2000

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 1568623502. It was assigned to this organization in the NPPES registry on June 23, 2008.

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

University Of New Mexico Medical Group. Inc. is located at 1101 Park Ave SW, Albuquerque, NM 87102. The listed phone number is (505) 248-1116.

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 23, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.