Active NPI
Robert I Dorman, M.D.
- Specialist
- Orangeburg, NY
National Provider Identifier
1629040803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 102172
- Practice address
- 60 Dutch Hill Rd
Suite 18
Orangeburg, NY 10962-1723 - Phone
- (845) 359-4770
- Fax
- (845) 359-0017
- NPI assigned
- Feb 2, 2006
- Last updated
- May 21, 2008
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 102172 | NY | Primary |
Addresses
Primary practice location
60 Dutch Hill Rd
Suite 18
Orangeburg, NY 10962-1723
Mailing address
60 Dutch Hill Rd
Suite 18
Orangeburg, NY 10962-1723
Phone (845) 359-4770
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000007798 | Other | GHI HMO | |
| 11462 | Other | HUDSON HEALTHPLANS | |
| 00142732 | Medicaid | NY | |
| 0D2711 | Other | HEALTHNET | |
| 4230342 | Other | AETNA | |
| 693481 | Other | EMPIRE BLUECROSS BLUESHIELD | |
| 070010309 | Other | RAILROAD MEDICARE | |
| 2200230 | Other | GHI | |
| RS140 | Other | OXFORD HEALTHPLANS | |
| 107798 | Other | WELLCARE | |
| 1046064 | Other | UNITED HEALTHCARE | |
| 0290794 | Other | CIGNA HEALTHPLANS |
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 |
|---|---|---|---|
| 102172 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1629040803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 DUTCH HILL RD",
"address_2": "SUITE 18",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109621723",
"telephone_number": "845-359-4770",
"fax_number": "845-359-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 DUTCH HILL RD",
"address_2": "SUITE 18",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109621723",
"telephone_number": "845-359-4770",
"fax_number": "845-359-0017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORMAN",
"first_name": "ROBERT",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "102172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000007798",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUDSON HEALTHPLANS",
"identifier": "11462",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00142732",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0D2711",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4230342",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUECROSS BLUESHIELD",
"identifier": "693481",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070010309",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2200230",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTHPLANS",
"identifier": "RS140",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "107798",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1046064",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHPLANS",
"identifier": "0290794",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.