Active NPI
Darlene L Forth MD PC
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
National Provider Identifier
1528082138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD069195L
- Legal business name
- DARLENE L FORTH MD PC
- Practice address
- 231 N Broad St
First Floor
Philadelphia, PA 19107-1511 - Phone
- (215) 762-8443
- Fax
- (215) 762-7710
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darlene Louise Forth, MD
- Title
- President
- Phone
- (215) 605-6130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD069195L | PA | Primary |
Addresses
Primary practice location
231 N Broad St
First Floor
Philadelphia, PA 19107-1511
Mailing address
PO Box 73
Berlin, NJ 08009-0073
Phone (215) 762-8443
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0182375601 | Medicaid | NJ | |
| 090312 | Other | BLUE SHIELD | |
| 32770MD069195L | Other | HEALTH PARTNERS | |
| 1744284 | Other | PA | HIGHMARK BLUE SHIELD |
| 2882363 | Other | AETNA | |
| 3Y4595 | Other | PHS HEALTHNET | |
| 0182375604 | Other | AMERICHOICE | |
| 090312 | Other | PER CHOICE | |
| 0018237560005 | Medicaid | PA | |
| 0087453000 | Other | KEYSTONE | |
| 10561 | Other | ELDER HEALTH | |
| 30000233 | Other | KEYSTONE MERCY | |
| 090312 | Other | HORIZON BS |
National Provider Directory
National Provider DirectoryLocations
231 N Broad St
Fl First
Philadelphia, PA 19107
Phone (215) 762-8443
1800 Lombard St
Ste 803
Philadelphia, PA 19146
Phone (215) 893-6680
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Voorhees, NJ
- NPI 1629040084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251244800000",
"number": "1528082138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73",
"city": "BERLIN",
"state": "NJ",
"postal_code": "080090073",
"telephone_number": "215-762-8443",
"fax_number": "215-762-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 N BROAD ST",
"address_2": "FIRST FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071511",
"telephone_number": "215-762-8443",
"fax_number": "215-762-7710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARLENE L FORTH MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2009-08-26",
"status": "A",
"authorized_official_last_name": "FORTH",
"authorized_official_first_name": "DARLENE",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-605-6130",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD069195L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0182375601",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "090312",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "32770MD069195L",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1744284",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2882363",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS HEALTHNET",
"identifier": "3Y4595",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0182375604",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PER CHOICE",
"identifier": "090312",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018237560005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0087453000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDER HEALTH",
"identifier": "10561",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30000233",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BS",
"identifier": "090312",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.