Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey L. Lautin, MD

Individual provider Diagnostic Radiology Physician · NPI 1689629875

Jeffrey L. Lautin, MD is a Diagnostic Radiology in West Orange, New Jersey. Graduated from Columbia University College of Physicians and Surgeons in 1989, 37 years ago. Practices with Fpa Hospital Based, a 422-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
37
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

741 Northfield Ave Ste 105
West Orange, NJ 07052-1174
Phone: (973) 243-9729
Fax: (973) 243-9674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 25MA07034700 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 1764691 (NY)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 1764691 (NY)

Record details

NPI number1689629875
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1989 (37 years in practice)
Group practice Fpa Hospital Based — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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