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
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

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.

Social Worker (School)
1101 PARK AVE SW
ALBUQUERQUE, NM 87102
Speech-Language Pathologist
1101 PARK AVE SW, WASHINGTON MS
ALBUQUERQUE, NM 87102
Speech-Language Pathologist
1101 PARK AVE SW
ALBUQUERQUE, NM 87102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568623502, enumerated as an "organization" on June 23, 2008.

The provider is located at 1101 PARK AVE SW ALBUQUERQUE, NM 87102 and the phone number is (505) 248-1116.

Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.