Active NPI
Vernon G Dorfman, MD
- Psychiatry Physician
- Surfside, FL
National Provider Identifier
1396861894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME91904
- 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, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME91904 | FL | MD | Psychiatry Physician |
| 109608 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Jamaica, NY
- NPI 1083782015
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.