Scott Forman, MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

155754-1 Issued in NY

Legal business name

SCOTT FORMAN, MD PC

Practice address

380 Route 202
Somers, NY 10589-3222

Phone

(914) 277-5550

Fax

(914) 277-5735

NPI assigned

Apr 4, 2017

Organization subpart

Yes

Parent organization

SCOTTAs reported in NPPES

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

Authorized official

Name

Veronica Cruz

Title

Office Manager

Phone

(914) 277-5550

Specialties & licenses 1

Addresses

Part of

Scott Forman

Locations

Practitioners 1

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

• Scott Forman, MD

  • Neuro-ophthalmology Physician
  • Belchertown, MA
  • NPI 1144398942
  NPD (past)

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1366975690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 ROUTE 202",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893222",
            "telephone_number": "914-277-5550",
            "fax_number": "914-277-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 ROUTE 202",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893222",
            "telephone_number": "914-277-5550",
            "fax_number": "914-277-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT FORMAN, MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCOTT",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "914-277-5550"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "155754-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azin Samadi Namin, LMSW
• Deanna Sandor, MD
• Natalie Sarcinella, OTR/L
• Katherine Margaret Schlosser, MSED, BCBA
• Mitchell Schulman, PH.D.
• Wendy Seidenberg, LCSW-R
• Serra Diabetics LLC
• Amy J Sirken
• Somers Central School Dsitrict
• Somers Manor Nursing Home, Inc

• Ophthalmology Physician in Somers, NY
• Providers in Somers, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.