Individual provider Active NPI

Eric Joseph Forte, DMD

  • Dentist
  • Gibbsboro, NJ
National Provider Identifier
1053443150
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21996 Issued in NJ
Practice address
59 Lakeview Dr N
Gibbsboro, NJ 08026-1002
Phone
(856) 784-7900
Fax
(856) 784-5904
NPI assigned
Mar 12, 2007
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21996 NJ Primary

Addresses

Primary practice location

59 Lakeview Dr N
Gibbsboro, NJ 08026-1002

Mailing address

23 Carter LN
Marlton, NJ 08053-5578
Phone (856) 810-2088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150428000868 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8426377375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21996NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township LV Dental LLC Current Accepting new patients
Gibbsboro LV Dental, LLC PastSince Aug 27, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1053443150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CARTER LN",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535578",
            "telephone_number": "856-810-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 LAKEVIEW DR N",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261002",
            "telephone_number": "856-784-7900",
            "fax_number": "856-784-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTE",
        "first_name": "ERIC",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "21996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibbsboro, NJ

Sources for this page

Verify at the official NPI Registry.