LASER & MOHS SURGERY OF NEW YORK PLLC
NPI 1043465602
Point of Service in New York, NY

Active since November 24, 2008
130 W 42ND ST STE 1805, NEW YORK, NY 10036(212) 391-8600(212) 391-8601 Get Directions Write a Review

NPPES record last updated: November 24, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Laser & Mohs Surgery Of New York Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LASER & MOHS SURGERY OF NEW YORK PLLC (NPI 1043465602) is a healthcare organization registered as a point of service in New York, New York and active in the NPI registry since November 2008. The organization lists Adelle T Quintana, Owner, as its authorized official.

NPPES Registry Identity

NPI1043465602
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameLASER & MOHS SURGERY OF NEW YORK PLLC
Location Address130 W 42ND ST STE 1805New York, NY 10036-7902
Mailing Address130 W 42nd St Ste 1805New York, NY 10036-7902 · (212) 391-8600 · Fax (212) 391-8601
Fax(212) 391-8601
Organization SubpartNo
Authorized OfficialAdelle T QuintanaOwner · (212) 391-8600
Enumeration DateNovember 24, 2008
✔ NPI 1043465602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in NY · 207656
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
130 W 42ND ST STE 1805, New York, NY 10036

Other Identifiers 1

Medicare UPINH05034NY

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laser & Mohs Surgery Of New York Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Laser & Mohs Surgery Of New York PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1386668119
501 5TH AVE RM 604
New York, NY 10017
(212) 391-8600
✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laser & Mohs Surgery Of New York PLLC's NPI number?

The NPI number for Laser & Mohs Surgery Of New York PLLC is 1043465602. It was assigned to this organization in the NPPES registry on November 24, 2008.

Where is Laser & Mohs Surgery Of New York PLLC located?

Laser & Mohs Surgery Of New York PLLC is located at 130 W 42nd St Ste 1805, New York, NY 10036. The listed phone number is (212) 391-8600.

What is Laser & Mohs Surgery Of New York PLLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Is Laser & Mohs Surgery Of New York PLLC enrolled in Medicare?

Yes. Laser & Mohs Surgery Of New York PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Laser & Mohs Surgery Of New York PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Laser & Mohs Surgery Of New York PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Laser & Mohs Surgery Of New York PLLC was last updated on November 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.