Individual provider Active NPI

Justin Paul Lafreniere, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1467573931
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D72329 Issued in MD
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

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
445219400MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150827003341 VA Order and Referring Only - Internal MedicinePractitioner - 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

Verify at the official NPI Registry.