Organization Active NPI

Samuel Ephraim Book, MD, Faad, PLLC

Doing business as The Center for Skin Surgery

  • Dermatology Physician
  • New Windsor, NY
National Provider Identifier
1285910927
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
211008 Issued in NY
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Samuel Ephraim Book, M.D.NPI 1215928619
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111031000017 NY Part B Supplier - Clinic/Group Practice 8729251277 Receives reassigned benefits from 1 practitioner
Practice locations: Cornwall, NY
O20171027001737 CT Part B Supplier - Clinic/Group Practice 8729251277 Receives reassigned benefits from 1 practitioner
Practice locations: Trumbull, CT

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.