Individual provider Active NPI

Andreas Boker, M.D

  • MOHS-Micrographic Surgery Physician
  • New York, NY
National Provider Identifier
1306972120
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
262834 Issued in NY
Practice address
75 Spring St FL 2
New York, NY 10012-4098
Phone
(212) 431-4749
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 67525 CT
MOHS-Micrographic Surgery Physician 207ND0101X 262834 NY Primary
Procedural Dermatology Physician 207NS0135X 262834 NY

Addresses

Primary practice location

75 Spring St FL 2
New York, NY 10012-4098

Mailing address

75 Spring St FL 2
New York, NY 10012-4098
Phone (212) 431-4749

Other practice location 1

18 E Shore Rd
New Preston, CT 06777-1628
Phone (860) 339-6606

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
I20110923000570 NY Practitioner - Dermatology 3870764798 Reassigns benefits to 1 organization
I20210609001192 CT Practitioner - Dermatology 3870764798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Preston Dermatology LLCGroup PAC ID 7416357686, 2 clinicians
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians
Spring Street Dermatology, PLLCGroup PAC ID 7113305517, 11 clinicians

Practice addresses (Care Compare)

18 E Shore Rd
New Preston, CT 06777-1628
Phone (484) 868-9998

75 Spring St
FL 2
New York, NY 10012-4098
Phone (212) 431-4749

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.02 of 100Reported as individual
Quality
96.04
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions354
Removal of skin cancer129
Skin biopsy164

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67525CTMDMOHS-Micrographic Surgery Physician
262834NYMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Preston Dermatology, LLC CurrentSince Jun 1, 2021 Accepting new patients
Spring Street Dermatology, PLLC CurrentSince Apr 25, 2022 Accepting new patients

Locations

18 E Shore Rd
New Preston Marble Dale, CT 06777
Phone (484) 868-9998

4 W 58th St
Fl 13
New York, NY 10019
Phone (212) 431-4749

75 Spring St
Fl 2
New York, NY 10012
Phone (212) 431-4749

Interoperability endpoints

  • Direct secure messaging: aboker@navaderm.emadirect.md
  • Direct secure messaging: aboker673055@nychhc.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1306972120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SPRING ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124098",
            "telephone_number": "212-431-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SPRING ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124098",
            "telephone_number": "212-431-4749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 E Shore Rd",
            "address_purpose": "LOCATION",
            "city": "New Preston",
            "state": "CT",
            "postal_code": "067771628",
            "country_code": "US",
            "telephone_number": "860-339-6606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOKER",
        "first_name": "ANDREAS",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CT",
            "license": "67525",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "262834",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "262834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.