ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD
NPI 1770519019
Dermatology in Phoenix, AZ

Q: What is Arizona Skin And Laser Therapy Institute, Ltd's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since June 25, 2006

4232 E CACTUS RD, SUITE 100, PHOENIX, AZ 85032(602) 996-3050(602) 494-0481 Get Directions Write a Review

NPPES record last updated: January 11, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Arizona Skin And Laser Therapy Institute, Ltd NPPES

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

ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD (NPI 1770519019) is a healthcare organization registered as a dermatology in Phoenix, Arizona and active in the NPI registry since June 2006. The organization lists Neil P Superfon, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1770519019

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD

Location Address4232 E CACTUS RD, SUITE 100Phoenix, AZ 85032-7602

Mailing Address2224 W Northern Ave, D 300Phoenix, AZ 85021-4928 · (602) 277-1449 · Fax (602) 277-9984

Phone(602) 996-3050

Fax(602) 494-0481

Organization SubpartNo

Authorized OfficialNeil P SuperfonOwner/physician · (602) 277-1449

Enumeration DateJune 25, 2006

Last NPPES UpdateJanuary 11, 2008

✔ NPI 1770519019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

4232 E CACTUS RD, Phoenix, AZ 85032

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Other Identifiers 1

Medicare PINZWCKJCAZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arizona Skin And Laser Therapy Institute, Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 13 clinicians reassign Medicare billing to Arizona Skin And Laser Therapy Institute, Ltd, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Dermatology7

Nurse Practitioner5

Radiation Oncology1

Clinicians, nearest first (13)

Tirsa Quartullo, CFNP

Nurse Practitioner

NPI 1467455477

3104 E INDIAN SCHOOL RD STE 100
Phoenix, AZ 85016

(480) 590-6600

✔ PECOS✔ Accepts Medicare7.3 mi

Michael Crandall, M.D.

Dermatology

NPI 1780863092