Active NPI
Stuart L. Dorfman, M.D.
- Occupational Medicine Physician
- Depew, NY
National Provider Identifier
1215017231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 139293
- Practice address
- 6199 Transit Rd
Depew, NY 14043-1024 - Phone
- (716) 206-0390
- Fax
- (716) 206-0394
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 139293 | NY | Primary |
Addresses
Primary practice location
6199 Transit Rd
Depew, NY 14043-1024
Mailing address
6199 Transit Rd
Depew, NY 14043-1024
Phone (716) 206-0390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139293 | Other | NY | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139293 | NY | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215017231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6199 TRANSIT RD",
"city": "DEPEW",
"state": "NY",
"postal_code": "140431024",
"telephone_number": "716-206-0390",
"fax_number": "716-206-0394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6199 TRANSIT RD",
"city": "DEPEW",
"state": "NY",
"postal_code": "140431024",
"telephone_number": "716-206-0390",
"fax_number": "716-206-0394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORFMAN",
"first_name": "STUART",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NY",
"license": "139293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "139293",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Depew, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.