Individual provider Active NPI

Samuel E Book, MD

  • MOHS-Micrographic Surgery Physician
  • New Windsor, NY
National Provider Identifier
1215928619
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
211008 Issued in NY
Practice address
575 Hudson Valley Ave Ste 205
New Windsor, NY 12553-4747
Phone
(845) 220-2200
Fax
(845) 220-2249
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 040087 CT
Procedural Dermatology Physician 207NS0135X 211008 NY
Dermatology Physician 207N00000X 211008 NY
MOHS-Micrographic Surgery Physician 207ND0101X 211008 NY Primary

Addresses

Primary practice location

575 Hudson Valley Ave Ste 205
New Windsor, NY 12553-4747

Mailing address

575 Hudson Valley Ave Ste 205
New Windsor, NY 12553-4747
Phone (845) 220-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060814000191 NY Practitioner - Dermatology 7618970658 Reassigns benefits to 2 organizations
I20101006000613 CT Practitioner - Dermatology 7618970658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
040087CTMDDermatology Physician
211008NYMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology, PLLC Dermatology CurrentSince Jun 14, 2025 Accepting new patients
BB Medical and Dermatology Inc Mohs-Micrographic Surgery Past Accepting new patients
Dermatology Services of Kingston P.C. Procedural Dermatology PastSince Jun 17, 2003 Accepting new patients

Locations

315 Grant Ave
Lake Katrine, NY 12449
Phone (845) 339-2525

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology, PLLC 12 clinicians

Practice addresses (Care Compare)

115 Technology Dr
Unit A203
Trumbull, CT 06611-6338
Phone (845) 220-2200

164 Willow Ave
Cornwall, NY 12518-1329
Phone (845) 220-2200

315 Grant Ave
Lake Katrine, NY 12449-5342
Phone (845) 339-2525

Merit-based Incentive Payment System (MIPS)

Final score
93.08 of 100Reported as individual
Quality
77.77
Promoting interoperability
99
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision160
Removal of skin lesions278
Removal of skin cancer1315
Removal of nail tissue1-10
Skin biopsy142

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1215928619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 HUDSON VALLEY AVE STE 205",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125534747",
            "telephone_number": "845-220-2200",
            "fax_number": "845-220-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 HUDSON VALLEY AVE STE 205",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125534747",
            "telephone_number": "845-220-2200",
            "fax_number": "845-220-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOK",
        "first_name": "SAMUEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "040087",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "211008",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "211008",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "211008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

Verify at the official NPI Registry.