Individual provider Active NPI

Jonathan Benjamin Lauter, MD

  • Child & Adolescent Psychiatry Physician
  • New York, NY
National Provider Identifier
1770501165
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
240592 Issued in NY
Practice address
48 W 21St St FL 4
New York, NY 10010-7314
Phone
(646) 593-1221
Fax
(646) 596-7015
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 240592 NY Primary

Addresses

Primary practice location

48 W 21St St FL 4
New York, NY 10010-7314

Mailing address

414 7TH St Apt 1
Brooklyn, NY 11215-3647
Phone (646) 593-1221

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
I20060919000385 NY Practitioner - Psychiatry 1052316429 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Healthcare, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Young Adult Institute, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Families and Individuals in Recovery CurrentSince Mar 28, 2022 Accepting new patients
Metropolitan Center for Mental Health, Inc. CurrentSince Mar 28, 2022 Accepting new patients
Lauter Medical PLLC CurrentSince Jan 1, 2025 Accepting new patients
New York Gracie Square Hospital Inc CurrentSince Aug 1, 2015 Accepting new patients
Premier Healthcare, Inc. CurrentSince Mar 1, 2020 Accepting new patients
The Floating Hospital Inc. PastSince Apr 6, 2021 Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

175 Remsen St
Brooklyn, NY 11201
Phone (718) 303-1300

48 W 21st St
Fl 4
New York, NY 10010
Phone (646) 593-1221

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1770501165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 7TH ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153647",
            "telephone_number": "646-593-1221",
            "fax_number": "646-596-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 W 21ST ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107314",
            "telephone_number": "646-593-1221",
            "fax_number": "646-596-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTER",
        "first_name": "JONATHAN",
        "middle_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "240592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.