Active NPI
Jeffrey L. Lautin, MD
- Vascular & Interventional Radiology Physician
- West Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 25MA07034700
- Practice address
- 741 Northfield Ave
Suite 105
West Orange, NJ 07052-1174 - Phone
- (973) 243-9729
- Fax
- (973) 243-9674
- NPI assigned
- May 24, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 1764691 | NY | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 1764691 | NY | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 25MA07034700 | NJ | Primary |
Addresses
Primary practice location
741 Northfield Ave
Suite 105
West Orange, NJ 07052-1174
Mailing address
4000 Route 66
Suite 131
Tinton Falls, NJ 07753-7300
Phone (732) 383-4189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8163901 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Columbia University College of Physicians and Surgeons, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-6426
5 Cuba Hill Rd
Greenlawn, NY 11740-1624
Phone (631) 628-5000
Hospital & facility affiliations
- Mount Sinai Hospital
- Mount Sinai West
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1764691 | NY | MD | Diagnostic Radiology Physician |
| 25MA07034700 | NJ | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Physician Services PC | Current | Accepting new patients | |
| Robert Wood Johnson Medical Associates | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Diagnostic Radiology | Current | Accepting new patients |
| Rwjbh Observation Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| North Shore Medical Group of the Mount Sinai School of Medicine | Diagnostic Radiology | Current | Accepting new patients |
| North Shore Medical Group of the Mount Sinai School of Medicine | Current | Accepting new patients | |
| Mount Sinai School of Medicine of New York University | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Madison Avenue Radiology PC | Diagnostic Radiology | Past | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients | |
| NJ Vein & Cosmetic Surgery Center, PA | Past | Accepting new patients | |
| Newark Diagnostic Radiologists, PA | Past | Accepting new patients | |
| Innovative Medical Diagnostic Care, PC | Past | Accepting new patients | |
| Montefiore Medical Center | Diagnostic Radiology | Past | Accepting new patients |
Locations
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
201 Lyons Ave
#B2
Newark, NJ 07112
Phone (973) 926-7960
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353
865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000
325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700
3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806
17E E 102nd St
#6D
New York, NY 10029
Phone (212) 241-6381
9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
1000 N Village Ave
#13202
Rockville Ctr, NY 11570
341 Central Park Ave
Scarsdale, NY 10583
Phone (718) 676-5309
11 Ralph Pl
Ste 201
Staten Island, NY 10304
Phone (718) 556-6565
1441 South Ave
Staten Island, NY 10314
Phone (332) 243-6900
1086 N Broadway
Yonkers, NY 10701
Phone (914) 771-9666
12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- jlaut00@accessctr.md.direct-ci.com
Organizations & group practices 19
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.
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Internal Medicine Physician
- Greenlawn, NY
- NPI 1275640609
Diagnostic Radiology
-
- Hospitalist Physician
- New Brunswick, NJ
- NPI 1902848625
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
Diagnostic Radiology
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
-
- Hematology & Oncology Physician
- Staten Island, NY
- NPI 1457867707
Diagnostic Radiology
-
- Internal Medicine Physician
- Scarsdale, NY
- NPI 1023334927
-
- Anesthesiology Physician
- New York, NY
- NPI 1710324041
-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1861900888
-
- Orthopaedic Surgery Physician
- Yonkers, NY
- NPI 1336878651
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
-
- General Acute Care Hospital
- New York, NY
- NPI 1104982917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1689629875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 ROUTE 66",
"address_2": "SUITE 131",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077537300",
"telephone_number": "732-383-4189",
"fax_number": "732-383-4171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "741 NORTHFIELD AVE",
"address_2": "SUITE 105",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521174",
"telephone_number": "973-243-9729",
"fax_number": "973-243-9674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUTIN",
"first_name": "JEFFREY",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "1764691",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NY",
"license": "1764691",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NJ",
"license": "25MA07034700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8163901",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.