Organization Active NPI

Sergio J Rybka MD PC

  • Urology Physician
  • Carlsbad, NM
National Provider Identifier
1932202280
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
82-301 Issued in NM
Legal business name
SERGIO J RYBKA MD PC
Practice address
1031 N Thomas St
Carlsbad, NM 88220
Phone
(575) 887-5542
Fax
(575) 885-0082
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Authorized official

Name
Rosemary Armendarez
Title
Office Manager
Phone
(575) 887-5542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 82-301 NM Primary

Addresses

Primary practice location

1031 N Thomas St
Carlsbad, NM 88220

Mailing address

1031 N Thomas St
Carlsbad, NM 88220-4597
Phone (575) 887-5542

Other identifiers 1

IdentifierTypeStateIssuer
9712MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1932202280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 N THOMAS ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204597",
            "telephone_number": "575-887-5542",
            "fax_number": "575-885-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 N THOMAS ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "88220",
            "telephone_number": "575-887-5542",
            "fax_number": "575-885-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO J RYBKA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "ARMENDAREZ",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "575-887-5542"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NM",
            "license": "82-301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9712",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.