ALBUQUERQUE CENTER FOR DERMATOLOGY PA NPI 1982791109

NPI Information

NPI: 1982791109
Provider Name: ALBUQUERQUE CENTER FOR DERMATOLOGY, PA
Classification: Dermatology - 207NS0135X
Specialization: Procedural Dermatology
Entity Type: Organization
Other Name: ABQ CENTER FOR DERMATOLOGY
CLIA Number: 32D2314226
Address: 8100 CONSTITUTION PL NE
SUITE 310
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 293-5333

Map and Directions

Get Directions

NPI Details

ALBUQUERQUE CENTER FOR DERMATOLOGY, PA is a procedural dermatology dermatology in Albuquerque, NM. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). ALBUQUERQUE CENTER FOR DERMATOLOGY, PA NPI is 1982791109. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Abq Center For Dermatology.

The provider's business location address is:

8100 CONSTITUTION PL NE
SUITE 310
ALBUQUERQUE, NM
ZIP 87110-643
Phone: (505) 293-5333
Fax: (505) 293-5334

The provider's authorized official is Vincent A Muscarella .
The authorized official title is President and has the following contact phone number (505) 293-5333.

The CLIA number assigned to this NPI record is 32D2314226 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/8/2006 and was last updated on 8/22/2007.

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
1	207N00000X	Dermatology		67-57	NEW MEXICO	No
2	207ND0101X	Dermatology	MOHS-Micrographic Surgery	67-57	NEW MEXICO	No
3	207ND0900X	Dermatology	Dermatopathology	67-57	NEW MEXICO	No
4	207NP0225X	Dermatology	Pediatric Dermatology	67-57	NEW MEXICO	No
5	207NS0135X	Dermatology	Procedural Dermatology	67-57	NEW MEXICO	Yes

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
1	20107	MEDICAID	NEW MEXICO
2	D35857	MEDICARE UPIN	NEW MEXICO
3	2126281	MEDICARE PIN	NEW 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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI