Active NPI
Lisa Marie Chevalier Forget, P.A.
- Medical Physician Assistant
- New York, NY
National Provider Identifier
1386977510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 013960
- Practice address
- 9 E 68TH St Ste 1C
New York, NY 10065-4998 - Phone
- (212) 575-1457
- NPI assigned
- Sep 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Medical Physician Assistant | 363AM0700X | 013960 | NY | Primary |
Addresses
Primary practice location
9 E 68TH St Ste 1C
New York, NY 10065-4998
Mailing address
360 1St Ave Apt 6G
New York, NY 10010-4920
Phone (440) 665-2408
Other names 1
- Lisa Hartman
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1386977510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 1ST AVE APT 6G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104920",
"telephone_number": "440-665-2408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 E 68TH ST STE 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654998",
"telephone_number": "212-575-1457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEVALIER FORGET",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-04",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "013960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "HARTMAN",
"credential": "P.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.