Active NPIOrganization

Jack S. Forman DPM

Podiatrist in Flemington, New Jersey

NPI Number1205050218
Practice location
170 State Route 31, Flemington, NJ 08822-5756
Fax
908-788-0899
Last updated
August 22, 2020

Jack S. Forman DPM is a healthcare organization based in Flemington, NJ. Jack S. Forman DPM practices in Flemington, NJ. The NPI Number for Jack S. Forman DPM is 1205050218 and holds a License No. md01112 (NJ). The current practice location address for Jack S. Forman DPM is 170 State Route 31, Flemington, NJ 08822-5756 and can be reached out via phone at 908-788-5317 and via fax at 908-788-0899.

Provider Profile Details

NPI Number
1205050218
Provider Name
Jack S. Forman DPM
Provider Entity Type
Organization
Address
170 State Route 31, Flemington, NJ 08822-5756
Phone Number
908-788-5317
Fax Number
908-788-0899
Primary Taxonomy
Podiatrist · 213E00000X
Organization Subpart
No
Authorized Official
Dr. Jack Steven Forman, DPM · Owner · 908-788-5317
Provider Enumeration Date
April 12, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 State Route 31
Flemington, NJ 08822-5756
Zip
08822-5756
Phone Number
908-788-5317
Fax Number
908-788-0899
Flemington, NJ 08822Get directions →

Provider Business Mailing Address Details

Address
170 State Route 31
Po Box 2207
Flemington, NJ 08822-5756
City
Flemington
State
NJ
Zip
08822-5756
Phone Number
908-788-5317
Fax Number
908-788-0899

License Information

License Number
md01112
License State
NJ
Taxonomy
Podiatrist · 213E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jack S. Forman DPM?

The NPI number of Jack S. Forman DPM is 1205050218. It was assigned on April 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Jack S. Forman DPM?

Jack S. Forman DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number md01112.

Where does Jack S. Forman DPM practice?

The practice location is 170 State Route 31, Flemington, NJ 08822-5756. The office can be reached at 908-788-5317 (phone) or 908-788-0899 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205050218 directly on the NPPES registry website.

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