Organization Active NPI

Fountain Nyc Medicine PLLC

Doing business as Fountain NYC Medicine

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1720884489
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FOUNTAIN NYC MEDICINE PLLC
Doing business as
Fountain NYC Medicine
Practice address
425 E 86TH St Apt 1a
New York, NY 10028-6491
Phone
(818) 421-0242
Fax
(917) 677-8644
NPI assigned
Feb 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Dr. Doreen Zarfati, MDNPI 1124253463
Title
Owner
Phone
(818) 421-0242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X

Addresses

Primary practice location

425 E 86TH St Apt 1a
New York, NY 10028-6491

Mailing address

425 E 86TH St Apt 1a
New York, NY 10028-6491
Phone (818) 421-0242

Other names 1

  • Fountain NYC Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1720884489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 86TH ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286491",
            "telephone_number": "818-421-0242",
            "fax_number": "917-677-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 86TH ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286491",
            "telephone_number": "818-421-0242",
            "fax_number": "917-677-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN NYC MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "ZARFATI",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-421-0242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain NYC Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.