Active NPI
Nicholas Nardacci, PHD, MD
- General Practice Physician
- Albuquerque, NM
National Provider Identifier
1740445469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 80-72
- Practice address
- 2919 Commercial St NE
Albuquerque, NM 87107-1515 - Phone
- (505) 345-7383
- NPI assigned
- Jul 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 80-72 | NM | Primary |
Addresses
Primary practice location
2919 Commercial St NE
Albuquerque, NM 87107-1515
Mailing address
2919 Commercial St NE
Albuquerque, NM 87107-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80-72 | NM | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216684800000",
"number": "1740445469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2919 COMMERCIAL ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871071515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2919 COMMERCIAL ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871071515",
"telephone_number": "505-345-7383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARDACCI",
"first_name": "NICHOLAS",
"credential": "PHD, MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-22",
"last_updated": "2008-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NM",
"license": "80-72",
"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 Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.