Individual provider Active NPI

Schubert Lartigue, MD

  • Family Medicine Physician
  • W. Haverstraw, NY
National Provider Identifier
1306862727
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
000206087 Issued in NY
Practice address
34 N Rte 9 W
W. Haverstraw, NY 10993
Phone
(845) 429-7400
Fax
(845) 429-5725
NPI assigned
Jul 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 000206087 NY Primary

Addresses

Primary practice location

34 N Rte 9 W
W. Haverstraw, NY 10993

Mailing address

34 N Route 9 W
W. Haverstraw, NY 10993
Phone (845) 429-7400

Other identifiers 1

IdentifierTypeStateIssuer
02041147MedicaidNY

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
I20110119000735 NY Practitioner - Family Practice 5193904431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

34 N Route 9W
West Haverstraw, NY 10993-1103
Phone (845) 429-7400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000206087NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schubert Lartigue Physician LLC CurrentSince Aug 20, 2001 Accepting new patients

Locations

34 N Route 9W
West Haverstraw, NY 10993
Phone (845) 429-7400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJHCBA/Endpoint/AJHCBA
  • Direct secure messaging: schubert.lartigue@rfmc.eclinicaldirectplus.com

Organizations & group practices 1

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 1

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306862727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N ROUTE 9 W",
            "city": "W. HAVERSTRAW",
            "state": "NY",
            "postal_code": "10993",
            "telephone_number": "845-429-7400",
            "fax_number": "845-429-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N RTE 9 W",
            "city": "W. HAVERSTRAW",
            "state": "NY",
            "postal_code": "10993",
            "telephone_number": "845-429-7400",
            "fax_number": "845-429-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARTIGUE",
        "first_name": "SCHUBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "000206087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02041147",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W. Haverstraw, NY

Sources for this page

Verify at the official NPI Registry.