Active NPIIndividual provider

Mark H Forman, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) in West Orange, New Jersey

NPI Number1235190190
Practice location
1500 Pleasant Valley Way, Ste 302, West Orange, NJ 07052
Fax
973-324-1064
Last updated
July 13, 2026

Mark Howard Forman is a Thoracic Surgery (Cardiothoracic Vascular Surgery) based in West Orange, NJ. Mark Howard Forman practices in West Orange, NJ and has the professional credentials of MD. The NPI Number for Mark Howard Forman is 1235190190 and holds a License No. 25MA04415500 (NJ). The current practice location address for Mark Howard Forman is 1500 Pleasant Valley Way, Ste 302, West Orange, NJ 07052 and can be reached out via phone at 973-324-0988 and via fax at 973-324-1064.

Provider Profile Details

NPI Number
1235190190
Provider Name
Mark Howard Forman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 Pleasant Valley Way, Ste 302, West Orange, NJ 07052
Phone Number
973-324-0988
Fax Number
973-324-1064
Sole Proprietor
No
Provider Enumeration Date
March 30, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1500 Pleasant Valley Way
Ste 302
West Orange, NJ 07052
Zip
07052
Phone Number
973-324-0988
Fax Number
973-324-1064
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
1500 Pleasant Valley Way
Ste 302
West Orange, NJ 07052
City
West Orange
State
NJ
Zip
07052
Phone Number
973-324-0988
Fax Number
973-324-1064

License Information

License Number
25MA04415500
License State
NJ

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 Mark H Forman, MD?

The NPI number of Mark H Forman, MD is 1235190190. It was assigned on March 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Mark H Forman, MD?

Mark H Forman, MD is registered under the primary taxonomy Thoracic Surgery (Cardiothoracic Vascular Surgery) (code 208G00000X), licensed in NJ under license number 25MA04415500.

Where does Mark H Forman, MD practice?

The practice location is 1500 Pleasant Valley Way, Ste 302, West Orange, NJ 07052. The office can be reached at 973-324-0988 (phone) or 973-324-1064 (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 1235190190 directly on the NPPES registry website.

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