NPIMap

Organization Active NPI

Dorfner Family Medicine LLC

  • Internal Medicine Physician
  • Burlington, NJ
National Provider Identifier
1164432407
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB53910 Issued in NJ
Legal business name
DORFNER FAMILY MEDICINE LLC
Practice address
811 Sunset Rd
Suite 101
Burlington, NJ 08016-3645
Phone
(609) 387-9242
Fax
(609) 387-9408
NPI assigned
Aug 9, 2006
Last updated
Aug 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Joyce Nicolo
Title
Administrator
Phone
(609) 387-9242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MB53910 NJ Primary

Addresses

Primary practice location

811 Sunset Rd
Suite 101
Burlington, NJ 08016-3645

Mailing address

811 Sunset Rd
Suite 101
Burlington, NJ 08016-3645
Phone (609) 387-9242

Other identifiers 1

IdentifierTypeStateIssuer
8367108MedicaidNJ

National Provider Directory

National Provider Directory

Locations

811 Sunset Rd
#101
Burlington, NJ 08016
Phone (609) 387-9242

1105 Sunset Rd
Burlngtn Twp, NJ 08016
Phone (609) 387-9242

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1164432407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SUNSET RD",
            "address_2": "SUITE 101",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080163645",
            "telephone_number": "609-387-9242",
            "fax_number": "609-387-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SUNSET RD",
            "address_2": "SUITE 101",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080163645",
            "telephone_number": "609-387-9242",
            "fax_number": "609-387-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORFNER FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "NICOLO",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "609-387-9242"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB53910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8367108",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.