NPIMap

Individual provider Active NPI

Peter H Forman, MD

  • Family Medicine Physician
  • Slingerlands, NY
National Provider Identifier
1003905480
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
228846 Issued in NY
Practice address
1499 New Scotland Rd
Slingerlands, NY 12159-9209
Phone
(518) 320-7517
Fax
(518) 439-0214
NPI assigned
Oct 12, 2006
Last updated
Jun 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 228846 NY Primary

Addresses

Primary practice location

1499 New Scotland Rd
Slingerlands, NY 12159-9209

Mailing address

1499 New Scotland Rd
Slingerlands, NY 12159-9209
Phone (518) 320-7517

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070910000525 NY Practitioner - Family Practice 9638262462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Medical Services, PLLCGroup PAC ID 5092808816, 5 clinicians

Practice addresses (Care Compare)

1499 New Scotland Rd
Slingerlands, NY 12159-9209
Phone (518) 320-7517

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228846NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Medical Services, PLLC Family Medicine CurrentSince Sep 1, 2007 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: peterforman@dfm.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1003905480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 NEW SCOTLAND RD",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599209",
            "telephone_number": "518-320-7517",
            "fax_number": "518-439-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 NEW SCOTLAND RD",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599209",
            "telephone_number": "518-320-7517",
            "fax_number": "518-439-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "PETER",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slingerlands, NY

Sources for this page

Verify at the official NPI Registry.