Matthew S Fogel, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

61223 Issued in NM

Practice address

3129 Casa Bonita Dr NE
Albuquerque, NM 87111-5607

Phone

(505) 239-7679

NPI assigned

Aug 31, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1326652173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 CASA BONITA DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871115607",
            "telephone_number": "505-239-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 CASA BONITA DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871115607",
            "telephone_number": "505-239-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGEL",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "61223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FNCH SBHC Wilson Location
• Focus Christian Therapy
• Focus on Healing, P.C.
• Focused Recovery
• Elizabeth Fogel, APRN-CNP, FNP-BC
• Sirena Marie Foidl, RRT
• Patrick Terrence Fok, MD
• Annmarie Foley, FNP
• Deborah A Foley, PA-C
• Francesca Foley, DPT

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.