Samantha P. Herman, M.D., LLC
NPI 1104552538ActiveOrganization· Dermatology· West New York, NJ
Dermatology in West New York, New Jersey, registered in NPPES in July 2022. The authorized official on file is Samantha Herman, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104552538 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2022 |
| Last updated in NPPES | Jul 27, 2022 |
| Certified by provider | Jul 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
Other Dermatology providers in West New York
- 1073605291
- 1417199050
- 1033606249
- 1376030015