Active NPI
Samuel Ephraim Book, MD, Faad, PLLC
Doing business as The Center for Skin Surgery
- Dermatology Physician
- New Windsor, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 211008
- Legal business name
- SAMUEL EPHRAIM BOOK, MD, FAAD, PLLC
- Doing business as
- The Center for Skin Surgery
- Practice address
- 575 Hudson Valley Ave Ste 205
New Windsor, NY 12553-4746 - Phone
- (845) 220-2200
- Fax
- (845) 220-2249
- NPI assigned
- Oct 26, 2011
- Last updated
- Sep 9, 2016
- 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
- Samuel Ephraim Book, M.D.
- Title
- Owner
- Phone
- (845) 220-2200
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 211008 | NY | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 211008 | NY | |
| Procedural Dermatology Physician | 207NS0135X | 211008 | NY |
Addresses
Primary practice location
575 Hudson Valley Ave Ste 205
New Windsor, NY 12553-4746
Mailing address
575 Hudson Valley Ave Ste 205
New Windsor, NY 12553-4746
Phone (845) 220-2200
Other names 1
- The Center for Skin Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
575 Hudson Valley Ave
Ste 205
New Windsor, NY 12553
Phone (845) 220-2200
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473379200000",
"number": "1285910927",
"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": "125534746",
"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": "125534746",
"telephone_number": "845-220-2200",
"fax_number": "845-220-2249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL EPHRAIM BOOK, MD, FAAD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-26",
"last_updated": "2016-09-09",
"status": "A",
"authorized_official_last_name": "BOOK",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "EPHRAIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-220-2200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "211008",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NY",
"license": "211008",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "NY",
"license": "211008",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Center for Skin Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
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 9, 2016; 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.