Steven S. Forman D.D.S., P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

011442 Issued in NJ

Legal business name

STEVEN S. FORMAN D.D.S., P.C.

Practice address

65 Mountain Blvd Ext
Suite 204
Warren, NJ 07059-2632

Phone

(732) 356-1777

Fax

(732) 302-3082

NPI assigned

Oct 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Samuel Forman, D.D.S.NPI 1265546550

Title

President

Phone

(732) 356-1777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Samuel Forman, D.D.S.

  • General Practice Dentistry
  • Warren, NJ
  • NPI 1265546550
  Authorized official Same address or phone

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023192499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MOUNTAIN BLVD EXT",
            "address_2": "SUITE 204",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592632",
            "telephone_number": "732-356-1777",
            "fax_number": "732-302-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MOUNTAIN BLVD EXT",
            "address_2": "SUITE 204",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592632",
            "telephone_number": "732-356-1777",
            "fax_number": "732-302-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN S. FORMAN D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-356-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "011442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Special Needs Residence LLC (Mt Bethel Village)
• Special Needs Residence LLC
• Speech and Language Center,LLC
• Levia Spingarn, M.A.
• Amanda M Starling, PSY.D.
• Marissa Stiuso, BCBA
• Sharon Rachel Stoch, M.D.
• Lavinia D. Stoicescu, M.D.
• Andrew Stoveken
• David Strada, DPT, PT, MS

• Dental Clinic/Center in Warren, NJ
• Providers in Warren, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.