Andrew L Lautin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

128397 Issued in NY

Practice address

37 Front St
2ND Floor
Greenport, NY 11944-1639

Phone

(631) 477-6696

Fax

(631) 477-6695

NPI assigned

Jul 10, 2008

Last updated

Oct 18, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1265696108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 5TH AVE",
            "address_2": "10A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280807",
            "telephone_number": "212-348-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 FRONT ST",
            "address_2": "2ND FLOOR",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441639",
            "telephone_number": "631-477-6696",
            "fax_number": "631-477-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTIN",
        "first_name": "ANDREW",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "128397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris J Kielbasa, DO
• Daniel R Klages, M.D.
• David Kleyn, DO
• Edward Stephen Kondak, D.D.S.
• Heather Kosch
• Patricia Dawn Liantonio, LMT
• Donna Jean Lieblein, LCSW
• Joseph M Lomuti, DO
• Eva Macdowall, NP
• Catherine Mahoney

• Psychiatry Physician in Greenport, NY
• Providers in Greenport, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.