Mount Sinai Doctors Weight Loss Center LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MOUNT SINAI DOCTORS WEIGHT LOSS CENTER LLC

Practice address

8500 Menaul Blvd NE Ste B550
Albuquerque, NM 87112-2270

Phone

(512) 287-0444

NPI assigned

Feb 1, 2024

Organization subpart

No

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

Authorized official

Name

Leo NwaokwuNPI 1497098883

Title

Owner

Phone

(512) 287-0444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leo Iwe Nwaokwu, FNP

  • Family Nurse Practitioner
  • Santa Fe, NM
  • NPI 1497098883
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1477316552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 MENAUL BLVD NE STE B550",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 MENAUL BLVD NE STE B550",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122270",
            "telephone_number": "512-287-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI DOCTORS WEIGHT LOSS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "NWAOKWU",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-287-0444"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Kay Mouer, LPCC
• Alyse Y Moulton, LCSW
• Emily Moulton
• Tyler Montgomery Mound
• Jessica Michele Mount Matney, M.S. CCC-SLP
• Mount Sinai Medical Services of New Mexico LLC
• Bonnie Kay Mount, RN
• Earl Woodward Mount
• Mountain ABA LLC
• Mountain Blue Medical Trans LLC

• 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 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.