Active NPI
Pediatrix Medical Group of New Mexico, P.C.
- Neonatal-Perinatal Medicine Physician
- Albuquerque, NM
National Provider Identifier
1235236944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- Legal business name
- PEDIATRIX MEDICAL GROUP OF NEW MEXICO, P.C.
- Practice address
- 1100 Central Ave SE
Albuquerque, NM 87106-4930 - Phone
- (505) 841-1994
- Fax
- (505) 563-6390
- NPI assigned
- Sep 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nanette Sanders
- Title
- Assistant Secretary
- Phone
- (954) 384-0175
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | Primary | ||
| Neonatal Nurse Practitioner | 363LN0000X |
Addresses
Primary practice location
1100 Central Ave SE
Albuquerque, NM 87106-4930
Mailing address
1301 Concord Ter
Sunrise, FL 33323-2843
Phone (954) 384-0175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3595 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
1101 Central Ave NE
Albuquerque, NM 87106
2400 Unser Blvd SE
Fl 1
Rio Rancho, NM 87124
Phone (505) 559-6100
4801 Beckner Rd
Ste 1700
Santa Fe, NM 87507
Phone (505) 772-1730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743984000000",
"number": "1235236944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 CONCORD TER",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232843",
"telephone_number": "954-384-0175",
"fax_number": "954-851-1948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CENTRAL AVE SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064930",
"telephone_number": "505-841-1994",
"fax_number": "505-563-6390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIX MEDICAL GROUP OF NEW MEXICO, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-17",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "NANETTE",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "954-384-0175"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LN0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Neonatal",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P3595",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
- Pediatric Dental Associates of NM PC (smiles for kids)
- Pediatric Health Services PC
- Pediatric Speech Services of Albuquerque
- Pediatric Therapy Inc.
- Pediatrix Cardiology of New Mexico, P.C.
- Elise Nicole Pedigo, PA-C
- Lilia Pedrego, MD
- Victoria M Pedroncelli
- Kurt Matthew Pedrotty, M.D.
- Mark Henry Pedrotty, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.