NPI Code Detail JSON Logo

1578716577 NPI number — JEMMIE L DORFMAN PNP-BC

NPI Number: 1578716577
Health Care Provider/Practitioner: JEMMIE L DORFMAN PNP-BC

Information about “1578716577” NPI (JEMMIE L DORFMAN PNP-BC) exists in 1578716577 in HTML format HTML  |  1578716577 in plain Text format TXT  |  1578716577 in PDF (Portable Document Format) PDF  |  1578716577 in an XML format XML  formats.

NPI Number : 1578716577 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578716577",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DORFMAN",
    "FirstName": "JEMMIE",
    "MiddleName": "L",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "51 FLORENCE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FREEPORT",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11520-5827",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-662-1270",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "525 E 68TH ST",
    "SecondLinePracticeLocationAddress": "BOX 99",
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10065-4870",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-746-7740",
    "PracticeLocationAddressFaxNumber": "212-746-7007",
    "EnumerationDate": "11/04/2008",
    "LastUpdateDate": "03/07/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0200X",
        "TaxonomyName": "Pediatric Nurse Practitioner",
        "LicenseNumber": "F382392-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.