IndividualActive
Nicholas Rockefeller
NPI 1699185660 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Albuquerque, NM
Provider details
- NPI number
- 1699185660
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 2014020090 (MO)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense MD2021-0817 (NM)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician207VF0040XLicense RS2018-0404 (NM)
Allopathic & Osteopathic Physicians
Student, Health Care
Student, Health Care
Practice location
6100 Pan American Freeway Ne
Ste 450
Albuquerque, NM 87109-3460
Phone: (505) 823-8787
Approximate (ZIP-level) locationGet directions
Mailing address
6420 Clayton Rd
Saint Louis, MO 63117-1811
Additional practice locations (2)
- 6420 Clayton RdSaint Louis, MO 63117Phone: (314) 768-8000Fax: (314) 645-8771
- Msc Obgyn 1 University of New Mexico AlbuquerqueAlbuquerque, NM 87131-0001Phone: (505) 272-2245
Registry dates
- Enumerated
- 2014-04-30
- Last updated
- 2021-09-01
- Certified
- 2021-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.