Organization Active NPI

New Light Primary Care P. a

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1508183385
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEW LIGHT PRIMARY CARE P. A
Practice address
3615 Rutherglen St
El Paso, TX 79925-1416
Phone
(915) 772-5400
Fax
(915) 772-5402
NPI assigned
May 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Martha Manquero-Butler
Title
President
Phone
(915) 772-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3615 Rutherglen St
El Paso, TX 79925-1416

Mailing address

3615 Rutherglen St
El Paso, TX 79925-1416
Phone (915) 772-5400

Other identifiers 1

IdentifierTypeStateIssuer
TXB104258MedicaidTX

Other names 1

  • New Light Primary Care PA Other name

National Provider Directory

National Provider Directory

Locations

5959 Gateway Blvd W
Ste 445
El Paso, TX 79925

3615 Rutherglen St
El Paso, TX 79925
Phone (915) 772-5400

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508183385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 RUTHERGLEN ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251416",
            "telephone_number": "915-772-5400",
            "fax_number": "915-772-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 RUTHERGLEN ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251416",
            "telephone_number": "915-772-5400",
            "fax_number": "915-772-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIGHT PRIMARY CARE P. A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MANQUERO-BUTLER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-772-5400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TXB104258",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Light Primary Care PA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "New Light Primary Care PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.