Active NPI
Soho Skin and Laser Dermatology PC
- Dermatology Physician
- New York, NY
National Provider Identifier
1093782492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- SOHO SKIN AND LASER DERMATOLOGY PC
- Practice address
- 197 Grand St Ste 3E
New York, NY 10013-3859 - Phone
- (212) 431-7600
- Fax
- (212) 431-7521
- NPI assigned
- Mar 3, 2006
- 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
- Dr. Simon Samaha, M.D.
- Title
- Ceo
- Phone
- (973) 571-2121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X | NY165531 | NY |
Addresses
Primary practice location
197 Grand St Ste 3E
New York, NY 10013-3859
Mailing address
347 Mount Pleasant Ave Ste 205
West Orange, NJ 07052-2749
Phone (973) 571-2121
Other practice location 1
62 Crosby St
New York, NY 10012-4410
Phone (212) 431-1600
Other names 1
- SOHO SKIN & LASER DERMATOLOGY, PC
National Provider Directory
National Provider DirectoryLocations
142 Joralemon St
Ste 8A
Brooklyn Heights, NY 11201
Phone (212) 289-9191
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Camden, NJ
- NPI 1144304536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1093782492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 MOUNT PLEASANT AVE STE 205",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522749",
"telephone_number": "973-571-2121",
"fax_number": "973-498-0569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 GRAND ST STE 3E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133859",
"telephone_number": "212-431-7600",
"fax_number": "212-431-7521"
}
],
"practiceLocations": [
{
"address_1": "62 Crosby St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100124410",
"country_code": "US",
"telephone_number": "212-431-1600",
"fax_number": "212-431-7521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOHO SKIN AND LASER DERMATOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-03",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SAMAHA",
"authorized_official_first_name": "SIMON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "973-571-2121",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NY",
"license": "NY165531",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SOHO SKIN & LASER DERMATOLOGY, PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.