Anton E Laffin, MD
Individual provider Active NPI Internal Medicine Physician · Stamford, CT
NPI 1497982680 · NPPES record last updated Jun 21, 2013
Key facts
- NPI
- 1497982680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- R8609 (IA)
- Practice address
- 1055 Washington Blvd
Ste 440
Stamford, CT 06901-2216 - Phone
- (203) 348-2614
- NPI assigned
- Jun 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150313001385 | NY | Practitioner - Anesthesiology | 5395989701 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267745 | NY | MD | Anesthesiology Physician |
| R8609 | IA | MD | Internal Medicine Physician |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Anesthesiology | Current | Accepting new patients |
| New York University | Internal Medicine | Current |
Accepting new patients |
| New York University | Anesthesiology | Current |
Accepting new patients |
| Gotham Medical Services | Anesthesiology | Past |
Accepting new patients |
Locations
530 1st Ave
New York, NY 10016
Phone (212) 263-7216
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- alaffin99827@nyumc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 267745 | NY | |
| Anesthesiology Physician | 207L00000X | 51891 | CT | |
| Internal Medicine Physician | 207R00000X | R8609 | IA | Yes |
Addresses
Primary practice location
1055 Washington Blvd
Ste 440
Stamford, CT 06901-2216
Mailing address
1055 Washington Blvd
Steve 440
Stamford, CT 06901-2216
Phone (203) 348-2614
Other providers in Stamford, CT
- Lactation Services of Connecticut LLC
- Joshua Michael Lader
- Genesis M Ladinez Velez
- Margot A Laedlein
- Amanda Laffin
- Adrienne Lagin
- Francisco G Lago
- Chelsea Lagunova
- Cherida Lally
- Kevin Thi Hung Lam
All providers in Stamford, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.