Individual provider Active NPI

Brett Joseph Laffin, CRPA

  • Peer Specialist
  • Hudson, NY
National Provider Identifier
1104653591
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
NYCPS-3097 Issued in NY
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

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
NYCPS-3097NYMDPeer 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.

Verify at the official NPI Registry.