NPIMap

Organization Active NPI

Albuquerque Gastroenterology Assoc PC

  • Gastroenterology Physician
  • Albuquerque, NM
National Provider Identifier
1245380773
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
89141 Issued in NM
Legal business name
ALBUQUERQUE GASTROENTEROLOGY ASSOC PC
Practice address
200 Oak St NE
Suite 1
Albuquerque, NM 87106-4740
Phone
(505) 766-5471
Fax
(505) 766-6883
NPI assigned
Jan 10, 2007
Last updated
Oct 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Vijay P Agarwal, MDNPI 1609964154
Title
Owner
Phone
(505) 766-5471

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
Gastroenterology Physician 207RG0100X 89141 NM Primary

Addresses

Primary practice location

200 Oak St NE
Suite 1
Albuquerque, NM 87106-4740

Mailing address

200 Oak St NE
Suite 1
Albuquerque, NM 87106-4740
Phone (505) 766-5471

National Provider Directory

National Provider Directory

Locations

200 Oak St NE
Ste 1
Albuquerque, NM 87106
Phone (505) 766-5471

Practitioners & affiliated clinicians

Practitioners 2

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1245380773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OAK ST NE",
            "address_2": "SUITE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064740",
            "telephone_number": "505-766-5471",
            "fax_number": "505-766-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OAK ST NE",
            "address_2": "SUITE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064740",
            "telephone_number": "505-766-5471",
            "fax_number": "505-766-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBUQUERQUE GASTROENTEROLOGY ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-766-5471",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "89141",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 11, 2012; 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.