Organization Active NPI

Forest Medcare P.C.

  • Legal Medicine
  • Brooklyn, NY
National Provider Identifier
1346312584
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
204587 Issued in NY
Legal business name
FOREST MEDCARE P.C.
Practice address
5702 11TH Ave
Brooklyn, NY 11219-4507
Phone
(718) 435-5830
Fax
(718) 437-5003
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Jerzy Wawerski, M.D.NPI 1922087758
Title
M.D.
Phone
(718) 381-3766

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
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 204587 NY Primary

Addresses

Primary practice location

5702 11TH Ave
Brooklyn, NY 11219-4507

Mailing address

5702 11TH Ave
Brooklyn, NY 11219-4507
Phone (718) 435-5830

Other identifiers 1

IdentifierTypeStateIssuer
02131684MedicaidNY

National Provider Directory

National Provider Directory

Locations

5702 11th Ave
Brooklyn, NY 11219
Phone (718) 435-5830

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1346312584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5702 11TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194507",
            "telephone_number": "718-435-5830",
            "fax_number": "718-437-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 11TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194507",
            "telephone_number": "718-435-5830",
            "fax_number": "718-437-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST MEDCARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "WAWERSKI",
        "authorized_official_first_name": "JERZY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "718-381-3766",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "204587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02131684",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.