MR. JOHN MATTHEW FAY MD NPI 1104888783

NPI Information

  • NPI: 1104888783
  • Provider Name: MR. JOHN MATTHEW FAY, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 3917 WEST ROAD
    SUITE A MANNM
    LOS ALAMOS, NM
    ZIP 87544
  • Phone: (505) 661-8900

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NPI Details

MR. John Matthew Fay, MD is a family medicine in Los Alamos, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. John Matthew Fay, MD NPI is 1104888783. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3917 WEST ROAD
SUITE A MANNM
LOS ALAMOS, NM
ZIP 87544
Phone: (505) 661-8900
Fax: (505) 661-8916

The enumeration date for this NPI number is 4/6/2006 and was last updated on 1/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineDR44193COLORADONo
2207Q00000XFamily MedicineMD20060672NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I48469MEDICARE UPIN
2342701804MEDICARE PIN
353123877MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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