Individual provider Active NPI

Vernon G Dorfman, MD

  • Psychiatry Physician
  • Surfside, FL
National Provider Identifier
1396861894
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME91904 Issued in FL
Practice address
260 95TH Street
203 Surfside Professional Building
Surfside, FL 33154
Phone
(305) 861-3717
Fax
(305) 866-4988
NPI assigned
Mar 22, 2007
Last updated
Jul 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 109608 NY
Psychiatry Physician 2084P0800X ME91904 FL Primary

Addresses

Primary practice location

260 95TH Street
203 Surfside Professional Building
Surfside, FL 33154

Mailing address

260 95TH Street
203 Surfside Professional Building
Surfside, FL 33154
Phone (305) 861-3717

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME91904FLMDPsychiatry Physician
109608NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Spirit II Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1396861894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 95TH STREET",
            "address_2": "203 SURFSIDE PROFESSIONAL BUILDING",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "33154",
            "telephone_number": "305-861-3717",
            "fax_number": "305-866-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 95TH STREET",
            "address_2": "203 SURFSIDE PROFESSIONAL BUILDING",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "33154",
            "telephone_number": "305-861-3717",
            "fax_number": "305-866-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORFMAN",
        "first_name": "VERNON",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "109608",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME91904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.