Individual provider Active NPI

Renee Marcia Forgenie, ADULT NP

  • Adult Health Nurse Practitioner
  • Rockville Centre, NY
National Provider Identifier
1538537683
Registry record updated Sep 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306280-1 Issued in NY
Practice address
100 Banks Ave Apt 1227
Rockville Centre, NY 11570-6207
Phone
(917) 774-1380
NPI assigned
Sep 7, 2015
Last updated
Sep 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306280-1 NY Primary

Addresses

Primary practice location

100 Banks Ave Apt 1227
Rockville Centre, NY 11570-6207

Mailing address

100 Banks Ave Apt 1227
Rockville Centre, NY 11570-6207
Phone (917) 772-1380

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F306280-1NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441584000000",
    "number": "1538537683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BANKS AVE APT 1227",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115706207",
            "telephone_number": "917-772-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BANKS AVE APT 1227",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115706207",
            "telephone_number": "917-774-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORGENIE",
        "first_name": "RENEE",
        "middle_name": "MARCIA",
        "name_prefix": "Ms.",
        "credential": "ADULT NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306280-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; 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.