Arizona Skin Institute, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ARIZONA SKIN INSTITUTE, PC

Practice address

11340 W Bell Rd Ste 127
Surprise, AZ 85378-9335

Phone

(623) 225-7546

Fax

(623) 225-7548

NPI assigned

Aug 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jay G Mehta, DONPI 1255572863

Title

Ceo

Phone

(623) 225-7546

Specialties & licenses 1

Addresses

Other names 1

• Arizona Skin Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

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

Practitioners 5

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

• Jay G Mehta, DO

  • Dermatology Physician
  • Surprise, AZ
  • NPI 1255572863
  Medicare reassignment Care Compare group NPD Authorized official
• Neil P. Superfon, D.O.

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1588610422
  Medicare reassignment Care Compare group NPD
• Rebecca Lynn Caudle, PA-C

  • Physician Assistant
  • Peoria, AZ
  • NPI 1558395087
  Medicare reassignment Care Compare group
• Matthew Lamca, PA-C

  • Medical Physician Assistant
  • Buckeye, AZ
  • NPI 1346762325
  Medicare reassignment
• Arjun Bal, DO

  • Dermatology Physician
  • Surprise, AZ
  • NPI 1154068864
  NPD

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705708800000",
    "number": "1992105126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11340 W BELL RD STE 127",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789335",
            "telephone_number": "623-225-7546",
            "fax_number": "623-225-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W BELL RD STE 127",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789335",
            "telephone_number": "623-225-7546",
            "fax_number": "623-225-7548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 S Watson Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853263435",
            "country_code": "US",
            "telephone_number": "602-207-5460",
            "fax_number": "623-230-6814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIZONA SKIN INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-225-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Skin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arizona Mobile Therapy LLC
• Arizona Orthosports Physical Therapy, Inc
• Arizona Peer Alliance LLC
• Arizona Pharmacy LLC
• Arizona Professional Counseling and Consulting PLLC
• Arizona Surgery Partners, LLC
• Arizona Transport
• Arizona Vein and Vascular Center LLC
• Arizona'S Choice Hospice, LLC
• Melissa Kimberly Arleo

• Dermatology Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2024; 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.