Active NPI
Skin Specialists of the Capital Region, PLLC
- MOHS-Micrographic Surgery Physician
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 1823931
- Legal business name
- SKIN SPECIALISTS OF THE CAPITAL REGION, PLLC
- Practice address
- 264 Washington Avenue Ext Ste 201
Suite 201
Albany, NY 12203-6352 - Phone
- (518) 452-1928
- Fax
- (518) 708-8749
- NPI assigned
- Sep 26, 2007
- Last updated
- Jun 15, 2022
- 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
- Christy Arsenault
- Title
- Practice Manager
- Phone
- (518) 452-1928
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 1823931 | NY | Primary |
Addresses
Primary practice location
264 Washington Avenue Ext Ste 201
Suite 201
Albany, NY 12203-6352
Mailing address
264 Washington Avenue Ext Ste 201
Albany, NY 12203-6352
Phone (518) 452-1928
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1823931 | Other | NY | NYS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0684091 | Skin Specialists of the Capital Region PLLC | Compliance | Jun 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
264 Washington Avenue Ext
Albany, NY 12203
Phone (518) 452-1928
264 Washington Avenue Ext
Ste 201
Albany, NY 12203
Phone (518) 452-1928
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- MOHS-Micrographic Surgery Physician
- Albany, NY
- NPI 1902069024
-
- Dermatology Physician
- Cooperstown, NY
- NPI 1336375161
-
- MOHS-Micrographic Surgery Physician
- Albany, NY
- NPI 1699035626
-
- Family Nurse Practitioner
- Albany, NY
- NPI 1619852951
-
- MOHS-Micrographic Surgery Physician
- Albany, NY
- NPI 1063405025
Single Specialty
-
- Dermatology Physician
- Albany, NY
- NPI 1710918255
-
- Physician Assistant
- New York, NY
- NPI 1629476486
-
- Physician Assistant
- Albany, NY
- NPI 1548631898
-
- Physician Assistant
- Albany, NY
- NPI 1164509998
-
- Physician Assistant
- Albany, NY
- NPI 1861972747
-
- Physician Assistant
- Albany, NY
- NPI 1982023982
-
- Surgical Physician Assistant
- Albany, NY
- NPI 1699050500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655251200000",
"number": "1346437092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 WASHINGTON AVENUE EXT STE 201",
"city": "ALBANY",
"state": "NY",
"postal_code": "122036352",
"telephone_number": "518-452-1928",
"fax_number": "518-362-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 WASHINGTON AVENUE EXT STE 201",
"address_2": "SUITE 201",
"city": "ALBANY",
"state": "NY",
"postal_code": "122036352",
"telephone_number": "518-452-1928",
"fax_number": "518-708-8749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKIN SPECIALISTS OF THE CAPITAL REGION, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-26",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A",
"authorized_official_last_name": "ARSENAULT",
"authorized_official_first_name": "CHRISTY",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "518-452-1928"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NY",
"license": "1823931",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "1823931",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.