Active NPI
Brett Joseph Laffin, CRPA
- Peer Specialist
- Hudson, NY
National Provider Identifier
1104653591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- NYCPS-3097
- Practice address
- 325 Columbia St
Hudson, NY 12534-1902 - Phone
- (518) 828-9446
- Fax
- (518) 828-9450
- NPI assigned
- Sep 18, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | NYCPS-3097 | NY | Primary |
Addresses
Primary practice location
325 Columbia St
Hudson, NY 12534-1902
Mailing address
102 Fulton Ave Ste a
Poughkeepsie, NY 12603-2858
Phone (845) 721-1320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NYCPS-3097 | NY | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1104653591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 FULTON AVE STE A",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032858",
"telephone_number": "845-721-1320",
"fax_number": "845-452-2793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 COLUMBIA ST",
"city": "HUDSON",
"state": "NY",
"postal_code": "125341902",
"telephone_number": "518-828-9446",
"fax_number": "518-828-9450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFFIN",
"first_name": "BRETT",
"middle_name": "JOSEPH",
"credential": "CRPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-18",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NY",
"license": "NYCPS-3097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.