IndividualActive
Jeffrey Lautin, MD
NPI 1689629875 · Vascular & Interventional Radiology Physician · West Orange, NJ
Provider details
- NPI number
- 1689629875
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 1764691 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
741 Northfield Ave
Suite 105
West Orange, NJ 07052-1174
Phone: (973) 243-9729
Fax: (973) 243-9674
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Route 66
Tinton Falls, NJ 07753-7300
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2023-01-26
- Certified
- 2023-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.