NPIMap

Organization Active NPI

Forefront Medical Services, PLLC

Doing business as Delmar Family Medicine

  • Family Medicine Physician
  • Delmar, NY
National Provider Identifier
1336356039
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
228846-1 Issued in NY
Legal business name
FOREFRONT MEDICAL SERVICES, PLLC
Doing business as
Delmar Family Medicine
Practice address
785 Delaware Ave
Delmar, NY 12054-9713
Phone
(518) 320-7517
Fax
(518) 439-0214
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Peter H Forman, MDNPI 1003905480
Title
Owner
Phone
(518) 320-7517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 228846-1 NY Primary

Addresses

Primary practice location

785 Delaware Ave
Delmar, NY 12054-9713

Mailing address

785 Delaware Ave
Delmar, NY 12054-9713
Phone (518) 320-7517

Other identifiers 1

IdentifierTypeStateIssuer
02423509MedicaidNY

Other names 1

  • Delmar Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070910000499 NY Part B Supplier - Clinic/Group Practice 5092808816 Receives reassigned benefits from 5 practitioners
Practice locations: Slingerlands, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1336356039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120549713",
            "telephone_number": "518-320-7517",
            "fax_number": "518-439-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120549713",
            "telephone_number": "518-320-7517",
            "fax_number": "518-439-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREFRONT MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-320-7517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228846-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02423509",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delmar Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delmar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.