Active NPIIndividual providerSole proprietor

Dr. Jack S Forman, DPM

Podiatrist in Flemington, New Jersey

NPI Number1639104458
Practice location
170 State Route 31, Flemington, NJ 08822-5756
Fax
908-788-0899
Last updated
July 8, 2007

Jack Steven Forman is a Podiatrist based in Flemington, NJ. Jack Steven Forman practices in Flemington, NJ and has the professional credentials of DPM. The NPI Number for Jack Steven Forman is 1639104458 and holds a License No. md01112 (NJ). The current practice location address for Jack Steven Forman 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
1639104458
Provider Name
Jack Steven Forman
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
170 State Route 31, Flemington, NJ 08822-5756
Phone Number
908-788-5317
Fax Number
908-788-0899
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 11, 2006
Last Update Date
July 8, 2007
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 Dr. Jack S Forman, DPM?

The NPI number of Dr. Jack S Forman, DPM is 1639104458. It was assigned on July 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jack S Forman, DPM?

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

Where does Dr. 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 1639104458 directly on the NPPES registry website.

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