Active NPI
Samuel E Book, MD
- MOHS-Micrographic Surgery Physician
- New Windsor, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 211008
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 040087 | CT | MD | Dermatology Physician |
| 211008 | NY | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology, PLLC | Dermatology | Current | Accepting new patients |
| BB Medical and Dermatology Inc | Mohs-Micrographic Surgery | Past | Accepting new patients |
| Dermatology Services of Kingston P.C. | Procedural Dermatology | Past | 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.
-
- MOHS-Micrographic Surgery Physician
- New York, NY
- NPI 1790210516
Mohs-Micrographic Surgery
-
- Procedural Dermatology Physician
- Kingston, NY
- NPI 1699713040
Procedural Dermatology
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
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 100
- Quality
- 77.77
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 160 |
| Removal of skin lesions | 278 |
| Removal of skin cancer | 1315 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 142 |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.