Individual provider Active NPI

Carol Dorfman, MD

  • Pediatrics Physician
  • New Haven, CT
National Provider Identifier
1922194059
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
032251 Issued in CT
Practice address
150 Sargent Dr
New Haven, CT 06511-6100
Phone
(203) 777-7411
Fax
(203) 498-1887
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 032251 CT Primary

Addresses

Primary practice location

150 Sargent Dr
New Haven, CT 06511-6100

Mailing address

150 Sargent Dr
New Haven, CT 06511-6100
Phone (203) 777-7411

Other identifiers 1

IdentifierTypeStateIssuer
001322510MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061127000218 CT Practitioner - Pediatric Medicine 2466450689 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
032251CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Aug 12, 2017 Accepting new patients
Yale University Pediatrics CurrentSince Aug 12, 2017 Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Pediatrics Past Accepting new patients
Fair Haven Community Health Clinic Inc Past Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients

Locations

150 Sargent Dr
Ste 1300
New Haven, CT 06511

150 Sargent Dr
New Haven, CT 06511
Phone (203) 781-4100

659 George St
New Haven, CT 06511
Phone (203) 789-3260

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

Interoperability endpoints

  • Direct secure messaging: cdorfman2969@direct.ynhh.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1922194059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SARGENT DR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116100",
            "telephone_number": "203-777-7411",
            "fax_number": "203-498-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SARGENT DR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116100",
            "telephone_number": "203-777-7411",
            "fax_number": "203-498-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORFMAN",
        "first_name": "CAROL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "032251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001322510",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.