Individual provider Active NPI

Maldin Memushaj

  • Community Health Worker
  • Albuquerque, NM
National Provider Identifier
1558270223
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
CCSS Issued in NM
Practice address
3321 Candelaria Rd NE
Albuquerque, NM 87107-1966
Phone
(505) 358-0803
NPI assigned
Sep 7, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CCSS NM Primary

Addresses

Primary practice location

3321 Candelaria Rd NE
Albuquerque, NM 87107-1966

Mailing address

3321 Candelaria Rd NE
Albuquerque, NM 87107-1966
Phone (505) 358-0803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1558270223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 CANDELARIA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071966",
            "telephone_number": "505-358-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 CANDELARIA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071966",
            "telephone_number": "505-358-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMUSHAJ",
        "first_name": "MALDIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NM",
            "license": "CCSS",
            "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 Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.