Organization Active NPI

Vincent Ortolano MD PC

  • Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1649451527
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
92114 Issued in NM
Legal business name
VINCENT ORTOLANO MD PC
Practice address
8120 Constitution PL NE
Suite 220
Albuquerque, NM 87110-7625
Phone
(505) 294-6979
Fax
(505) 294-6986
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Vincent Ortolano, M.D.
Title
Physician
Phone
(505) 294-6979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 92114 NM Primary

Addresses

Primary practice location

8120 Constitution PL NE
Suite 220
Albuquerque, NM 87110-7625

Mailing address

8120 Constitution PL NE
Suite 220
Albuquerque, NM 87110-7625
Phone (505) 294-6979

Other identifiers 1

IdentifierTypeStateIssuer
E3072MedicaidNM

National Provider Directory

National Provider Directory

Locations

8100 Constitution Pl NE
Ste 250
Albuquerque, NM 87110
Phone (505) 294-6979

8120 Constitution Pl NE
Ste 220
Albuquerque, NM 87110
Phone (505) 294-6979

Practitioners & affiliated clinicians

Practitioners 1

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": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1649451527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 CONSTITUTION PL NE",
            "address_2": "SUITE 220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107625",
            "telephone_number": "505-294-6979",
            "fax_number": "505-294-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 CONSTITUTION PL NE",
            "address_2": "SUITE 220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107625",
            "telephone_number": "505-294-6979",
            "fax_number": "505-294-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT ORTOLANO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "ORTOLANO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "505-294-6979",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "92114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E3072",
            "state": "NM"
        }
    ],
    "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 Feb 13, 2017; 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.