| Jeffrey L Lautin, MD | |
|
741 Northfield Ave, Suite 105, West Orange, NJ 07052-1174 | |
| (973) 243-9729 | |
| (973) 243-9674 |
| Full Name | Jeffrey L Lautin |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 36 Years |
| Location | 741 Northfield Ave, West Orange, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689629875 | NPI | - | NPPES |
| 8163901 | Medicaid | NJ |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Sinai Hospital | New york, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fpa Hospital Based | 4789826694 | 361 |
| North Shore Medical Group Of The Mount Sinai School Of Medicine | 8921999087 | 284 |
| Entity Name | Fpa Hospital Based |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629319413 PECOS PAC ID: 4789826694 Enrollment ID: O20130806000185 |
| Entity Name | Empire State Radiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255962783 PECOS PAC ID: 4385075241 Enrollment ID: O20200508000320 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey L Lautin, MD 4000 Route 66, Suite 131, Tinton Falls, NJ 07753-7300 Ph: (732) 383-4189 | Jeffrey L Lautin, MD 741 Northfield Ave, Suite 105, West Orange, NJ 07052-1174 Ph: (973) 243-9729 |
Richard B. Shoenfeld, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 741 Northfield Ave, Suite 105, West Orange, NJ 07052 Phone: 973-243-9729 Fax: 973-243-9674 | |
Surekha D Khedekar, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3 Murphy Ct, West Orange, NJ 07052 Phone: 973-325-2968 | |
Harold L. Mast, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 741 Northfield Ave, Suite 105, West Orange, NJ 07052 Phone: 973-243-9729 Fax: 973-243-9672 | |
Dr. Philip W Silverberg, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 614 Smith Manor Blvd, West Orange, NJ 07052 Phone: 973-324-9397 Fax: 973-324-9398 | |
Marc S. Rudoltz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 64 Oak Ave, West Orange, NJ 07052 Phone: 973-736-2883 | |
Dr. Stephen Paul Toder, MD. Radiology Medicare: May Accept Medicare Assignments Practice Location: 743 Northfield Ave, West Orange, NJ 07052 Phone: 973-669-5739 |