Active NPI
Mobile Dermatology Partners LLC
- Dermatology Physician
- Albuquerque, NM
National Provider Identifier
1295665446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- MOBILE DERMATOLOGY PARTNERS LLC
- Practice address
- 3636 Menaul Blvd NE Ste 108
Albuquerque, NM 87110-2842 - Phone
- (505) 816-0159
- Fax
- (480) 240-5931
- NPI assigned
- May 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Harris, PA-C
- Title
- Owner
- Phone
- (480) 461-9822
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| Family Medicine Physician | 207Q00000X |
Addresses
Primary practice location
3636 Menaul Blvd NE Ste 108
Albuquerque, NM 87110-2842
Mailing address
3636 Menaul Blvd NE Ste 108
Albuquerque, NM 87110-2842
Phone (505) 816-0159
National Provider Directory
National Provider DirectoryLocations
3636 Menaul Blvd NE
Ste 108
Albuquerque, NM 87110
Phone (505) 816-0159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779235200000",
"number": "1295665446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 MENAUL BLVD NE STE 108",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871102842",
"telephone_number": "505-816-0159",
"fax_number": "480-240-5931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 MENAUL BLVD NE STE 108",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871102842",
"telephone_number": "505-816-0159",
"fax_number": "480-240-5931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE DERMATOLOGY PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-20",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-461-9822",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.