Active NPI
Carol J Dorfman, PH.D.
- Psychologist
- Englewood, NJ
National Provider Identifier
1598842494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 155 N Dean St
3Rd Floor
Englewood, NJ 07631-2532 - Phone
- (201) 569-4422
- Fax
- (201) 569-3550
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | NJ | Primary |
Addresses
Primary practice location
155 N Dean St
3Rd Floor
Englewood, NJ 07631-2532
Mailing address
155 N Dean St
3Rd Floor
Englewood, NJ 07631-2532
Phone (201) 569-4422
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 297018 | Other | NJ | MHN |
| 2357794000 | Other | AMERIHEALTH/KEYSTONE/PC |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S1003949 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carol J Dorfman, PH.D. | Psychologist | Past | Accepting new patients |
| Advanced Medical Care Center, PC | Past | Accepting new patients | |
| Craig W. Pearl, Psy.D., P.C. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Englewood, NJ
- NPI 1457438343
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Somerset, NJ
- NPI 1619221546
-
- Clinical Psychologist
- Mount Laurel, NJ
- NPI 1043320104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598842494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N DEAN ST",
"address_2": "3RD FLOOR",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312532",
"telephone_number": "201-569-4422",
"fax_number": "201-569-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N DEAN ST",
"address_2": "3RD FLOOR",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312532",
"telephone_number": "201-569-4422",
"fax_number": "201-569-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORFMAN",
"first_name": "CAROL",
"middle_name": "J",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "297018",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/KEYSTONE/PC",
"identifier": "2357794000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
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.