Active NPI
Justin Paul Lafreniere, M.D.
- Internal Medicine Physician
- Baltimore, MD
National Provider Identifier
1467573931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D72329
- Practice address
- 2024 E Monument St Suite 2-619
General Internal Medicine- the Johns Hopkins University
Baltimore, MD 21205 - Phone
- (410) 614-1135
- Fax
- (410) 955-0476
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D72329 | MD | Primary |
Addresses
Primary practice location
2024 E Monument St Suite 2-619
General Internal Medicine- the Johns Hopkins University
Baltimore, MD 21205
Mailing address
PO Box 64264
Baltimore, MD 21264-4264
Phone (410) 955-9434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 445219400 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150827003341 | VA | Order and Referring Only - Internal Medicine | 5193995488 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362096000000",
"number": "1467573931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64264",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644264",
"telephone_number": "410-955-9434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 E MONUMENT ST SUITE 2-619",
"address_2": "GENERAL INTERNAL MEDICINE- THE JOHNS HOPKINS UNIVERSITY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21205",
"telephone_number": "410-614-1135",
"fax_number": "410-955-0476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFRENIERE",
"first_name": "JUSTIN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2013-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D72329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "445219400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.