Organization Active NPI

Bryan G. Forley, M.D., P.C.

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1104994540
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
168207 Issued in NY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01450811MedicaidNY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.