Organization Active NPI

Podiatry Associates of New Mexico LTD

  • Foot & Ankle Surgery Podiatrist
  • Albuquerque, NM
National Provider Identifier
1730185158
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PODIATRY ASSOCIATES OF NEW MEXICO LTD
Practice address
8300 Carmel Ave NE
Ste 501
Albuquerque, NM 87122-3125
Phone
(505) 797-1001
Fax
(505) 828-1571
NPI assigned
Jun 21, 2005
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
Gerard J Kerbleski, DPM
Title
Co-Owner/President
Phone
(505) 797-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X NM Primary

Addresses

Primary practice location

8300 Carmel Ave NE
Ste 501
Albuquerque, NM 87122-3125

Mailing address

8300 Carmel Ave NE
Ste 501
Albuquerque, NM 87122-3125
Phone (505) 797-1001

Other identifiers 2

IdentifierTypeStateIssuer
CH3682OtherNMMEDICARE RAILROAD
79012MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730185158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 CARMEL AVE NE",
            "address_2": "STE 501",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223125",
            "telephone_number": "505-797-1001",
            "fax_number": "505-828-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CARMEL AVE NE",
            "address_2": "STE 501",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223125",
            "telephone_number": "505-797-1001",
            "fax_number": "505-828-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES OF NEW MEXICO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KERBLESKI",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-OWNER/PRESIDENT",
        "authorized_official_telephone_number": "505-797-1001",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CH3682",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79012",
            "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 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.