Individual provider Active NPI

John Samuel Laldin, M.D.

  • Internal Medicine Physician
  • Watertown, NY
National Provider Identifier
1467766352
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
271121 Issued in NY
Practice address
830 Washington St
Watertown, NY 13601-4034
Phone
(917) 691-8906
NPI assigned
Aug 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME115269 FL
Internal Medicine Physician 207R00000X 73711 GA
Hospitalist Physician 208M00000X 73711 GA
Internal Medicine Physician 207R00000X 271121 NY Primary

Addresses

Primary practice location

830 Washington St
Watertown, NY 13601-4034

Mailing address

425 Essjay Rd Ste 170
Williamsville, NY 14221-8235
Phone (716) 630-1219

Other practice location 1

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1550

Other practice location 2

3720 Beach Blvd
Jacksonville, FL 32207-3814
Phone (917) 691-8906

Other practice location 3

85 High St
Buffalo, NY 14203-1149
Phone (716) 630-1000

Other practice location 4

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300

Other practice location 5

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-5600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

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
I20131007000110 NY Practitioner - Internal Medicine 6709010796 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital of BuffaloGroup PAC ID 8729991666, 198 clinicians
Apogee Medical Group, New York, PCGroup PAC ID 4587793294, 117 clinicians
Samaritan Medical CenterGroup PAC ID 8123914876, 157 clinicians

Practice addresses (Care Compare)

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 826-7000

830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-4000

Hospital & facility affiliations

  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME115269FLMDInternal Medicine Physician
73711GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Apr 17, 2024 Accepting new patients
St. Peter'S Hospital of the City of Albany Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
Infinity Medical Group P.C. Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Apr 13, 2021 Accepting new patients
St. Joseph'S Physician Health, P.C. Internal Medicine CurrentSince Oct 27, 2015 Accepting new patients
Samaritan Hospital of Troy, New York Internal Medicine CurrentSince Oct 3, 2022 Accepting new patients
Buffalo Medical Group, P.C. Internal Medicine CurrentSince Jan 5, 2021 Accepting new patients
St Josephs Medical PC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Apr 13, 2021 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Apr 17, 2024 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Jan 5, 2021 Accepting new patients
St. Peter'S Hospital of the City of Albany Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
Infinity Medical of Wny PC Hospitalist CurrentSince Aug 1, 2022 Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince Mar 26, 2019 Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

85 High St
Buffalo, NY 14203
Phone (716) 857-8623

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

515 Main St
Olean, NY 14760
Phone (716) 373-2600

1014 Oswegatchie Trail Rd
Star Lake, NY 13690
Phone (315) 848-3351

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

830 Washington St
#13282
Watertown, NY 13601
Phone (315) 785-4667

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

425 Essjay Rd
Ste 170
Williamsville, NY 14221
Phone (716) 630-1219

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 8

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": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1467766352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ESSJAY RD STE 170",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218235",
            "telephone_number": "716-630-1219",
            "fax_number": "716-817-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014034",
            "telephone_number": "917-691-8906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Manning Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3720 Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322073814",
            "country_code": "US",
            "telephone_number": "917-691-8906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 High St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031149",
            "country_code": "US",
            "telephone_number": "716-630-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-271-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 High St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031126",
            "country_code": "US",
            "telephone_number": "716-859-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LALDIN",
        "first_name": "JOHN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME115269",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "73711",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "73711",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "271121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.