ALBUQUERQUE DERMATOLOGY ASSOCIATES, PA
NPI 1821045329
Dermatology in Albuquerque, NM

Active since May 28, 2006CLIA 32D0534672 · Certificate of Compliance
4610 JEFFERSON LN NE, ALBUQUERQUE, NM 87109(505) 872-4700(505) 872-4709 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Albuquerque Dermatology Associates, Pa NPPES

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

ALBUQUERQUE DERMATOLOGY ASSOCIATES, PA (NPI 1821045329) is a healthcare organization registered as a dermatology in Albuquerque, New Mexico and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 16, 2027 and lists Estelle B Miller, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1821045329
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameALBUQUERQUE DERMATOLOGY ASSOCIATES, PA
Location Address4610 JEFFERSON LN NEAlbuquerque, NM 87109-2117
Mailing Address4610 Jefferson Ln NeAlbuquerque, NM 87109-2117 · (505) 872-4700 · Fax (505) 872-4709
Fax(505) 872-4709
Organization SubpartNo
Authorized OfficialEstelle B MillerPractice Manager · (505) 872-4700
Enumeration DateMay 28, 2006
Last NPPES UpdateMarch 6, 2008
NPI 1821045329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in NM · 2000-166 Licensed in NM · 2002-0450 Licensed in NM · R46867NM Licensed in NM · MD2005-0405
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.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 2000-166 (NM)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 2000-166 (NM), 2002-0450 (NM), R46867NM (NM), MD2005-0405 (NM)
4610 JEFFERSON LN NE, Albuquerque, NM 87109

Other Identifiers 10

Medicare UPIN1821045329NM
Medicare UPIN1811935984NM
Medicaid47235306NM
Medicare UPIN1770578924NM
Medicaid76659755NM
Medicare UPIN1194710442NM
Medicaid44792NM
Medicaid93885865NM
Medicare UPIN1558465153NM
MedicaidF1418NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 32D0534672

Albuquerque Dermatology Asoc & Cut Surgery Center · Albuquerque, NM
Active · expires Jun 16, 2027
CLIA Number32D0534672
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorDr. Sky B. Connolly
Laboratory Phone(505) 872-4700
Laboratory LocationAlbuquerque Dermatology Asoc & Cut Surgery Center5310 Homestead Rd NE, Ste 301, Albuquerque, NM 87110
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology (Gynecologic Oncology)
4610 JEFFERSON LN NE, WOMEN'S CANCER AND SURGICAL CARE, PC
ALBUQUERQUE, NM 87109
Obstetrics & Gynecology (Gynecologic Oncology)
4610 JEFFERSON LN NE
ALBUQUERQUE, NM 87109
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4610 JEFFERSON LN NE
ALBUQUERQUE, NM 87109
Obstetrics & Gynecology (Gynecologic Oncology)
4610 JEFFERSON LN NE
ALBUQUERQUE, NM 87109
Obstetrics & Gynecology (Gynecologic Oncology)
4610 JEFFERSON LN NE
ALBUQUERQUE, NM 87109
Specialist
4610 JEFFERSON LN NE
ALBUQUERQUE, NM 87109

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 Albuquerque Dermatology Associates, PA's NPI number?

The NPI number for Albuquerque Dermatology Associates, PA is 1821045329. It was assigned to this organization in the NPPES registry on May 28, 2006.

Where is Albuquerque Dermatology Associates, PA located?

Albuquerque Dermatology Associates, PA is located at 4610 Jefferson Ln NE, Albuquerque, NM 87109. The listed phone number is (505) 872-4700.

What is Albuquerque Dermatology Associates, PA's specialty?

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

Does Albuquerque Dermatology Associates, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 32D0534672) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Albuquerque Dermatology Associates, PA was last updated on March 6, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.