Forrest Nelson White, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

288041 Issued in NY

Practice address

969 Main St Ste D
Fishkill, NY 12524-1791

Phone

(845) 896-7730

Fax

(845) 896-7758

NPI assigned

Jun 12, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

Columbia University College of Physicians and Surgeons, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Medical Care of New Jersey PCGroup PAC ID 3072650290, 168 clinicians

Hudson Dermatology, PCGroup PAC ID 8022021732, 40 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7628/brand/4/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/DHCDAA

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.

• Hudson Dermatology, PC

  • Dermatology Physician
  • Fishkill, NY
  • NPI 1508895384
  Medicare reassignment Care Compare group NPD
• Optum Medical Care of New Jersey PC

  • Pediatrics Physician
  • New Hyde Park, NY
  • NPI 1578665048

  Internal Medicine, NJ

  Medicare reassignment Care Compare group NPD
• Manhattan Dermatology PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1548055742
  NPD
• Optum Medical Care of New Jersey PC

  • Durable Medical Equipment & Medical Supplies
  • Belleville, NJ
  • NPI 1255050902
  NPD
• A.G. Dikengil, MD, PA

  • Radiology Clinic/Center
  • Lyndhurst, NJ
  • NPI 1205992690
  NPD (past)

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1265870299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 MAIN ST STE D",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241791",
            "telephone_number": "845-896-7730",
            "fax_number": "845-896-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 MAIN ST STE D",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241791",
            "telephone_number": "845-896-7730",
            "fax_number": "845-896-7758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Hurley Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124013738",
            "country_code": "US",
            "telephone_number": "845-338-3200",
            "fax_number": "845-338-3233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 Fox St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126014732",
            "country_code": "US",
            "telephone_number": "845-473-2350",
            "fax_number": "845-473-4305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 Green St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NY",
            "postal_code": "125342353",
            "country_code": "US",
            "telephone_number": "518-412-3300",
            "fax_number": "518-412-3222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Quaker Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Cornwall",
            "state": "NY",
            "postal_code": "125182026",
            "country_code": "US",
            "telephone_number": "845-458-8188",
            "fax_number": "845-458-8122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 White Plains Rd Ste 109 East Wing",
            "address_purpose": "LOCATION",
            "city": "Tarrytown",
            "state": "NY",
            "postal_code": "105915563",
            "country_code": "US",
            "telephone_number": "914-829-8200",
            "fax_number": "914-829-8201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 Market St",
            "address_purpose": "LOCATION",
            "city": "Nanuet",
            "state": "NY",
            "postal_code": "109542744",
            "country_code": "US",
            "telephone_number": "845-415-5575",
            "fax_number": "845-896-7758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 Route 202 Ste 2",
            "address_purpose": "LOCATION",
            "city": "Somers",
            "state": "NY",
            "postal_code": "105893221",
            "country_code": "US",
            "telephone_number": "914-617-8950",
            "fax_number": "914-617-8960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "FORREST",
        "middle_name": "NELSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "288041",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA12338500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary M Weiner, O.D.
• Jennifer Weisberger
• Susan Weisel, MD
• Michael A. Westerman, PHD
• Jayde Taylor Whelan
• Shane Martin Wible, MPAS, PA-C
• Catherine Williams, PSY.D.
• Dorothy Wilson
• Jennifer Wilson, P.A.
• Wingate of Dutchess, Inc.

• Dermatology Physician in Fishkill, NY
• Providers in Fishkill, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.