New Mexico Neurology Associates PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEW MEXICO NEUROLOGY ASSOCIATES PC

Practice address

4273 Montgomery NE
Suite 110
Albuquerque, NM 87109-6746

Phone

(505) 944-7555

Fax

(505) 944-7552

NPI assigned

Jan 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Beth A Berger

Title

Office Manager

Phone

(505) 944-7555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

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.

• Manuel A Gurule, MD

  • Neurology Physician
  • Albuquerque, NM
  • NPI 1235297839
  Medicare reassignment NPD

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699825653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 MONTGOMERY NE SUITE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096746",
            "telephone_number": "505-944-7555",
            "fax_number": "505-944-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 MONTGOMERY NE",
            "address_2": "SUITE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096746",
            "telephone_number": "505-944-7555",
            "fax_number": "505-944-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO NEUROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-944-7555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45294",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• New Mexico Oncology Hematology Consultants, LTD.
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• New Mexico Orthodontics

• Neurology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Neurology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.