NPIMap

Organization Active NPI

Forge Medical Group, LLC

Doing business as Forge Health

  • Psychiatry Physician
  • Manchester, NH
National Provider Identifier
1164230587
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FORGE MEDICAL GROUP, LLC
Doing business as
Forge Health
Practice address
1750 Elm St Ste 103
Manchester, NH 03104-2919
Phone
(914) 435-7600
Fax
(201) 565-2833
NPI assigned
Dec 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Daniel Lenzo
Title
Vice President
Phone
(646) 709-6883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1750 Elm St Ste 103
Manchester, NH 03104-2919

Mailing address

10 Bank St Ste 830
White Plains, NY 10606-1952

Other names 2

  • Forge Health Doing business as
  • Forge Health Texas Other name

National Provider Directory

National Provider Directory
Tax ID family
Forge Health8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1164230587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BANK ST STE 830",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106061952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 ELM ST STE 103",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042919",
            "telephone_number": "914-435-7600",
            "fax_number": "201-565-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORGE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "LENZO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "646-709-6883"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forge Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Forge Health Texas",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.