Hollis Forde III
Individual provider Active NPI Driver · Saddle Brook, NJ
NPI 1144034828 · NPPES record last updated Feb 4, 2025
Key facts
- NPI
- 1144034828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- F65733356101062 (NJ)
- Practice address
- 44 Leonhardt CT
Saddle Brook, NJ 07663-5025 - Phone
- (551) 293-9199
- NPI assigned
- Feb 4, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F65733356101062 | NJ | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | F65733356101062 | NJ | Yes |
Addresses
Primary practice location
44 Leonhardt CT
Saddle Brook, NJ 07663-5025
Mailing address
44 Leonhardt CT
Saddle Brook, NJ 07663-5025
Phone (551) 293-9199
Other providers in Saddle Brook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.