Active NPI
Bryan G. Forley, M.D., P.C.
- Plastic Surgery Physician
- New York, NY
National Provider Identifier
1104994540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 168207
- Legal business name
- BRYAN G. FORLEY, M.D., P.C.
- Practice address
- 5 E 82ND St
New York, NY 10028-0342 - Phone
- (212) 861-3757
- Fax
- (212) 861-5033
- NPI assigned
- Dec 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bryan G. Forley, M.D.
- Title
- President
- Phone
- (212) 861-3757
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 168207 | NY | Primary |
Addresses
Primary practice location
5 E 82ND St
New York, NY 10028-0342
Mailing address
5 East 82ND Street
New York, NY 10028
Phone (212) 861-3757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01450811 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104994540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 EAST 82ND STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10028",
"telephone_number": "212-861-3757",
"fax_number": "212-861-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 E 82ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280342",
"telephone_number": "212-861-3757",
"fax_number": "212-861-5033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYAN G. FORLEY, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FORLEY",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-861-3757",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "NY",
"license": "168207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01450811",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- 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.