Active NPI
Michael Forman, AP
- Acupuncturist
- Miami Beach, FL
National Provider Identifier
1356776389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 3318
- Practice address
- 1900 Purdy Ave
Apt 1014
Miami Beach, FL 33139-1400 - Phone
- (305) 741-2102
- Fax
- (786) 364-7365
- NPI assigned
- Sep 10, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 3318 | FL | Primary |
Addresses
Primary practice location
1900 Purdy Ave
Apt 1014
Miami Beach, FL 33139-1400
Mailing address
1900 Purdy Ave
Apt 1014
Miami Beach, FL 33139-1400
Phone (305) 741-2102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3318 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1356776389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 PURDY AVE",
"address_2": "APT 1014",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331391400",
"telephone_number": "305-741-2102",
"fax_number": "786-364-7365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 PURDY AVE",
"address_2": "APT 1014",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331391400",
"telephone_number": "305-741-2102",
"fax_number": "786-364-7365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORMAN",
"first_name": "MICHAEL",
"credential": "AP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-10",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "3318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.