Edward A Latimer, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA54004 Issued in NJ

Practice address

24 Portland PL
Montclair, NJ 07042-2822

Phone

(973) 744-1880

Fax

(973) 746-9575

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Psychiatry

Education

Rowan University School of Osteopathic Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: elatimer191608@ahs.direct-ci.com

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.

• Catherine a Liebhauser MD LLC

  • Psychiatry Physician
  • Montclair, NJ
  • NPI 1477858694
  NPD (past)
• Robert T. Latimer, MD PA

  • Psychiatry Physician
  • Montclair, NJ
  • NPI 1235468034
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194810895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PORTLAND PL",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422822",
            "telephone_number": "973-744-1880",
            "fax_number": "973-746-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PORTLAND PL",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422822",
            "telephone_number": "973-744-1880",
            "fax_number": "973-746-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIMER",
        "first_name": "EDWARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA54004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P0601356-639734Z",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyce Lanoue, LCWS
• Mary Lantz, LCSW
• Dorothy Larry, NP
• Eric K Larsen, M.A., L.P.C.
• Erin Mary Lasala
• Lauraine Hollyer (Lauraine Hollyer PhD)
• Audrey Laurelton, R.D.
• Laurence Leff DMD LLC
• Joanna Laurent
• Brande Leigh Lauretta, LCSW

• Psychiatry Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.