NPIMap

Individual provider Active NPI

Benjamin John Dorfman, M.D.

  • Neurology Physician
  • Cheshire, CT
National Provider Identifier
1043697709
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
69168 Issued in CT
Practice address
280 South Main Street
Suite 102
Cheshire, CT 06410
Phone
(860) 870-6385
Fax
(203) 250-0191
NPI assigned
May 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 299901 NY
Neurology Physician 2084N0400X 69168 CT Primary

Addresses

Primary practice location

280 South Main Street
Suite 102
Cheshire, CT 06410

Mailing address

280 South Main Street
Suite 102
Cheshire, CT 06410
Phone (212) 241-5607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210815000019 CT Practitioner - Neurology 2163833054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Rutgers New Jersey Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians
The Charlotte Hungerford HospitalGroup PAC ID 4486557501, 206 clinicians

Practice addresses (Care Compare)

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

780 Litchfield St
Torrington, CT 06790-6268
Phone (860) 626-8232

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Visiting Nurse & Hospice of Litchfield County, Inc. Home health agency, Winsted, CT, CCN 077089
  • Rvnahealth Home health agency, Ridgefield, CT, CCN 077066
  • Charlotte Hungerford Hospital Hospital, Torrington, CT, CCN 070011
  • Sharon Hospital Hospital, Sharon, CT, CCN 070004
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
  • Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Merit-based Incentive Payment System (MIPS)

Final score
88.05 of 100Reported as group
Quality
70.34
Promoting interoperability
100
Improvement activities
40
Cost
75.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte Hungerford Hospital Neurology CurrentSince Aug 30, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Neurology CurrentSince Aug 30, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Aug 30, 2021 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Aug 30, 2021 Accepting new patients

Locations

280 S Main St
Ste 102
Cheshire, CT 06410
Phone (203) 224-5161

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1914 E Main St
Torrington, CT 06790
Phone (860) 278-0070

780 Litchfield St
Torrington, CT 06790
Phone (860) 350-9000

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1043697709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SOUTH MAIN STREET",
            "address_2": "SUITE 102",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "06410",
            "telephone_number": "212-241-5607",
            "fax_number": "212-241-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SOUTH MAIN STREET",
            "address_2": "SUITE 102",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "06410",
            "telephone_number": "860-870-6385",
            "fax_number": "203-250-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORFMAN",
        "first_name": "BENJAMIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "299901",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "69168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.