Individual provider Active NPI

Jean Robert Dorestin, APRN

  • Psychiatry Physician
  • Oakland Park, FL
National Provider Identifier
1376415166
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
APRN11042345 Issued in FL
Practice address
2880 W Oakland Park Blvd Ste 125E
Oakland Park, FL 33311-1362
Phone
(954) 871-9828
NPI assigned
Sep 22, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X APRN11042345 FL Primary

Addresses

Primary practice location

2880 W Oakland Park Blvd Ste 125E
Oakland Park, FL 33311-1362

Mailing address

2880 W Oakland Park Blvd Ste 125E
Oakland Park, FL 33311-1362

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

State licenses

LicenseStateTypeSpecialty
APRN11042345FLMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1376415166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 W OAKLAND PARK BLVD STE 125E",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 W OAKLAND PARK BLVD STE 125E",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111362",
            "telephone_number": "954-871-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORESTIN",
        "first_name": "JEAN",
        "middle_name": "ROBERT",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "APRN11042345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.