Organization Active NPI

Ronald J Rosandich, M.D. P.a.

  • Specialist
  • Albuquerque, NM
National Provider Identifier
1043342256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
70-192 Issued in NM
Legal business name
RONALD J ROSANDICH, M.D. P.A.
Practice address
8010 Mountain Rd NE
Albuquerque, NM 87110-7840
Phone
(505) 268-2481
NPI assigned
Mar 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ronald John Rosandich, MDNPI 1811969322
Title
President
Phone
(505) 268-2481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 70-192 NM Primary

Addresses

Primary practice location

8010 Mountain Rd NE
Albuquerque, NM 87110-7840

Mailing address

8010 Mountain Rd NE
Albuquerque, NM 87110-7840
Phone (505) 268-2481

Other identifiers 1

IdentifierTypeStateIssuer
01780891-000OtherNMNM TAX ID NUMBER

National Provider Directory

National Provider Directory

Locations

8010 Mountain Rd NE
Albuquerque, NM 87110
Phone (505) 265-6782

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043342256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 MOUNTAIN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107840",
            "telephone_number": "505-268-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 MOUNTAIN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107840",
            "telephone_number": "505-268-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD J ROSANDICH, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSANDICH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-268-2481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "70-192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM TAX   ID NUMBER",
            "identifier": "01780891-000",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.