Individual provider Active NPI

Jeffrey A Lafferman, MD/PA

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1396779385
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0031176 Issued in MD
Practice address
1634 Sulphur Spring Rd
Baltimore, MD 21227-2539
Phone
(410) 242-0920
Fax
(410) 242-0924
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X M21440 MD
Legal Medicine 173000000X BL0369656 MD
Specialist 174400000X D31176 MD
Psychiatry Physician 2084P0800X D0031176 MD Primary

Addresses

Primary practice location

1634 Sulphur Spring Rd
Baltimore, MD 21227-2539

Mailing address

5016 Kemp Rd
Reisterstown
Reisterstown, MD 21136-4712
Phone (410) 429-0909

Other identifiers 3

IdentifierTypeStateIssuer
260021534OtherMDBALTIMORE COUNTY
260050814OtherMDDC, PG COUNTY
281321100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040820000373 MD Practitioner - Psychiatry 4587550744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Maryland School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aspen Day Treatment LLCGroup PAC ID 8729160635, 6 clinicians

Practice addresses (Care Compare)

1634 Sulphur Spring Rd
Baltimore, MD 21227-2539
Phone (410) 812-9359

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M21440MDMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Day Treatment, LLC CurrentSince Oct 5, 2013 Accepting new patients
Windrush Behavioral Health, LLC Legal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1634 Sulphur Spring Rd
Halethorpe, MD 21227
Phone (410) 242-0920

1407 York Rd
Ste 310
Lutherville, MD 21093
Phone (410) 824-2092

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1396779385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 KEMP RD",
            "address_2": "REISTERSTOWN",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211364712",
            "telephone_number": "410-429-0909",
            "fax_number": "410-825-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 SULPHUR SPRING RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272539",
            "telephone_number": "410-242-0920",
            "fax_number": "410-242-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFERMAN",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD/PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "MD",
            "license": "M21440",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "MD",
            "license": "BL0369656",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D31176",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0031176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BALTIMORE COUNTY",
            "identifier": "260021534",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC, PG COUNTY",
            "identifier": "260050814",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281321100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.