Dermatology & Skin Cancer Center of NM PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY & SKIN CANCER CENTER OF NM PC

Practice address

5120 Masthead St NE
Albuquerque, NM 87109-4366

Phone

(505) 243-7546

Fax

(505) 243-7547

NPI assigned

Feb 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra A Cangiolosi

Title

Executive VP of Operations

Phone

(505) 243-7546

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/547b0eb5-cfa9-4b3c-9b40-22fe9b0420af/

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Brian Chang, M.D.

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1326337122

  Dermatology, NM

  Medicare reassignment Care Compare group NPD
• Daniel Alyn Davis, MD

  • MOHS-Micrographic Surgery Physician
  • Albuquerque, NM
  • NPI 1366539413

  Mohs-Micrographic Surgery, NM

  Medicare reassignment Care Compare group NPD
• David A. Davis, M.D.

  • MOHS-Micrographic Surgery Physician
  • Albuquerque, NM
  • NPI 1124024880

  Dermatology, NM

  Medicare reassignment Care Compare group NPD
• Monica Maria Romero, MD

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1598804502

  Dermatology, NM

  Medicare reassignment Care Compare group NPD
• Daniel L. Stulberg, MD

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1013022995

  Dermatology, NM

  Medicare reassignment Care Compare group NPD
• Emily Jeanne Bryl, PA

  • Physician Assistant
  • Albuquerque, NM
  • NPI 1851743942

  NM

  Medicare reassignment Care Compare group
• Natalie Mills, PA-C

  • Physician Assistant
  • Albuquerque, NM
  • NPI 1568912327

  NM

  Medicare reassignment Care Compare group
• Margaret M Pribyl, PA

  • Physician Assistant
  • Albuquerque, NM
  • NPI 1740738699

  NM

  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1235264284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 MASTHEAD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094366",
            "telephone_number": "505-243-7546",
            "fax_number": "505-243-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 MASTHEAD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094366",
            "telephone_number": "505-243-7546",
            "fax_number": "505-243-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY & SKIN CANCER CENTER OF NM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "CANGIOLOSI",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE VP OF OPERATIONS",
        "authorized_official_telephone_number": "505-243-7546"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Depriest
• Alexander Christopher Deradke, DO
• Jessica Dereu
• Lev B Deriy, MD
• Daniel Derksen, MD
• Dermatology Consultants of Albuquerque PC
• Dermatology of New Mexico LLC
• Adrianna Derrick
• Lorine Derusha
• Judith Des Jardins, SLP-CF

• All providers in Albuquerque, NM
• Dermatology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.