Nicole Geisha Forrest

Primary specialty

SpecialistTaxonomy code 174400000X

License

1886966 Issued in NY

Practice address

780 Thomas S Boyland St
Brooklyn, NY 11212-4433

Phone

(347) 277-4944

NPI assigned

Nov 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1427454545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 THOMAS S BOYLAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112124433",
            "telephone_number": "347-277-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 THOMAS S BOYLAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112124433",
            "telephone_number": "347-277-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "NICOLE",
        "middle_name": "GEISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1886966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Forman, PA-C
• Stephen Formanowicz
• Formula-Depot Inc.
• Robert Francis Foronjy, M.D.
• Neisha S Forrest
• Kim Forrester-Dumont, DO
• Chermin Forrester
• Marie Forrisi, PHD
• Sannette Forrster
• Mavis Temah Forson

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.