NPIMap

Organization Active NPI

Jose L. Lantin, MD, PC

  • Gastroenterology Physician
  • Yonkers, NY
National Provider Identifier
1043468366
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
JOSE L. LANTIN, MD, PC
Practice address
1086 N Broadway Ste 50
Yonkers, NY 10701-1115
Phone
(929) 441-6911
Fax
(607) 246-5337
NPI assigned
Aug 28, 2008
Last updated
Jun 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Dr. Jose L. Lantin, MDNPI 1770571135
Title
President
Phone
(914) 391-1274

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1086 N Broadway Ste 50
Yonkers, NY 10701-1115

Mailing address

1086 N Broadway Ste 50
Yonkers, NY 10701-1115
Phone (929) 441-6911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080908000479 NY Part B Supplier - Clinic/Group Practice 1355417783 Receives reassigned benefits from 5 practitioners
Practice locations: Bronx, NY; Yonkers, NY

National Provider Directory

National Provider Directory

Locations

102 Park Ave
Ste 2
Yonkers, NY 10703
Phone (914) 391-1274

1034 N Broadway
Ste 2012
Yonkers, NY 10701

1086 N Broadway
Ste 5D
Yonkers, NY 10701

955 Yonkers Ave
Ste 12
Yonkers, NY 10704
Phone (914) 237-6440

Practitioners & affiliated clinicians

Practitioners 10

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": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1043468366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 N BROADWAY STE 50",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011115",
            "telephone_number": "929-441-6911",
            "fax_number": "607-246-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 N BROADWAY STE 50",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011115",
            "telephone_number": "929-441-6911",
            "fax_number": "607-246-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE L. LANTIN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "LANTIN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-391-1274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.