Active NPI
Jennifer Ann Forzono, MS.ED
- Health Educator
- Spring Valley, NY
National Provider Identifier
1134561590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 675797
- Practice address
- 260 Old Nyack Tpke
Spring Valley, NY 10977-5741 - Phone
- (845) 574-4950
- Fax
- (845) 574-4944
- NPI assigned
- Jul 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 675797 | NY | Primary |
Addresses
Primary practice location
260 Old Nyack Tpke
Spring Valley, NY 10977-5741
Mailing address
8 Brooks Ave
Monroe, NY 10950-3602
Phone (845) 238-4121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 675797 | NY | MD | Health Educator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Association for the Visually Impaired, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Spring Valley, NY
- NPI 1306127626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1134561590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 BROOKS AVE",
"city": "MONROE",
"state": "NY",
"postal_code": "109503602",
"telephone_number": "845-238-4121",
"fax_number": "845-574-4944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 OLD NYACK TPKE",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109775741",
"telephone_number": "845-574-4950",
"fax_number": "845-574-4944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORZONO",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "MS.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-25",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NY",
"license": "675797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.