Samantha P. Herman, M.D., LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SAMANTHA P. HERMAN, M.D., LLC

Practice address

411 60TH St
West New York, NJ 07093-2211

Phone

(201) 867-8550

Fax

(201) 861-2223

NPI assigned

Jul 27, 2022

Last updated

Jul 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samantha Herman, MDNPI 1417199050

Title

Owner

Phone

(201) 867-8550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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.

• Samantha Paige Herman, M.D.

  • Dermatology Physician
  • West New York, NJ
  • NPI 1417199050

  Single Specialty

  Medicare reassignment NPD Authorized official
• Eric William Herman, MD

  • Dermatology Physician
  • West New York, NJ
  • NPI 1073605291
  NPD (past)

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1104552538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932211",
            "telephone_number": "201-867-8550",
            "fax_number": "201-861-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932211",
            "telephone_number": "201-867-8550",
            "fax_number": "201-861-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1777 Hamburg Tpke Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074705243",
            "country_code": "US",
            "telephone_number": "973-295-5200",
            "fax_number": "973-295-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAMANTHA P. HERMAN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-867-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rustagi Eye Associates LLC
• Saras Rustagi, O.D.
• Saam Medical
• Salazar Dental LLC
• Maria Salazar, DMD
• Bienvenido Sanchez, MD
• Christina Sanchez
• Daniel Rene Sanchez, M.D.
• Nicole Teresa Sanchez, APN
• Frank Santos, MD

• Dermatology Physician in West New York, NJ
• Providers in West New York, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.