Individual provider Active NPI

Yves Jacques Lafond, M.D.

  • Internal Medicine Physician
  • Fulton, NY
National Provider Identifier
1164467031
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
196878-1 Issued in NY
Practice address
451 South 4TH Street
Fulton, NY 13069-2060
Phone
(315) 598-5795
Fax
(315) 598-7086
NPI assigned
Jun 17, 2006
Last updated
Nov 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 196878-1 NY
Internal Medicine Physician 207R00000X 196878-1 NY Primary

Addresses

Primary practice location

451 South 4TH Street
Fulton, NY 13069-2060

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

110 W 6th St
Oswego, NY 13126-2598
Phone (315) 349-5511

Other identifiers 1

IdentifierTypeStateIssuer
01559379MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101012000277 NY Practitioner - Internal Medicine 8325230162 Reassigns benefits to 2 organizations
Practice locations: Fulton, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oswego HospitalGroup PAC ID 4981686045, 59 clinicians

Practice addresses (Care Compare)

110 W 6TH St
Oswego, NY 13126-2507

522 S 4TH St
Suite 1200
Fulton, NY 13069-2529
Phone (315) 598-5795

Oswego Hospital
110 West Sixth Street
Oswego, NY 13126-2507

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
196878NYMDLicensed Practical Nurse
196878-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Hill Manor, Inc. CurrentSince Nov 3, 2011 Accepting new patients
Urology Specialists of Cny, PC Past Accepting new patients
Fulton Family Psychiatry PC PastSince May 14, 2019 Accepting new patients

Locations

20 Manor Dr
Oswego, NY 13126
Phone (315) 349-5300

Interoperability endpoints

  • Direct secure messaging: ylafond@oswegohealth.hiemail.healtheconnections.org
  • Direct secure messaging: yves.lafond.1@21457.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1164467031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 SOUTH 4TH STREET",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130692060",
            "telephone_number": "315-598-5795",
            "fax_number": "315-598-7086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131262598",
            "country_code": "US",
            "telephone_number": "315-349-5511",
            "fax_number": "315-349-5732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFOND",
        "first_name": "YVES",
        "middle_name": "JACQUES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "196878-1",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196878-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01559379",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, NY

Sources for this page

Verify at the official NPI Registry.