Active NPI
Roan Emanuel Forgie
- Psychiatric/Mental Health Nurse Practitioner
- Winter Garden, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F403033
- Practice address
- 3065 Daniels Rd # 1077
Winter Garden, FL 34787-7002 - Phone
- (646) 591-4970
- NPI assigned
- Nov 20, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 273030 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F403033 | NY | Primary |
Addresses
Primary practice location
3065 Daniels Rd # 1077
Winter Garden, FL 34787-7002
Mailing address
669 E 237TH St
Bronx, NY 10466-1409
Phone (646) 591-4970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02907775 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10819 Rockaway Blvd
South Ozone Park, NY 11420-1034
Phone (718) 845-2620
50 W Hawthorne Ave
FL 2
Valley Stream, NY 11580-6220
Phone (718) 471-0200
70 Father Capodanno Blvd
Staten Island, NY 10305-4803
Phone (718) 273-8900
712 Beach 20TH St
Far Rockaway, NY 11691-3502
Phone (718) 471-0200
799 E Gun Hill Rd
Bronx, NY 10467-6107
Phone (718) 881-9100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 273030 | NY | MD | Licensed Practical Nurse |
| F403033 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downtown Bronx Medical Associates PC | Current | Accepting new patients | |
| Catholic Charities Neighborhood Services, Inc. | Current | Accepting new patients | |
| Seth Benkel, MD, PLLC | Current | Accepting new patients | |
| New Horizon Counseling Center Inc | Current | Accepting new patients | |
| Forgie Nurse Practitioner in Psychiatry Health Services PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Catholic Charities Neigborhood Services | Past | Accepting new patients |
Locations
234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874
1623 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 377-5755
191 Joralemon St
Fl 11
Brooklyn, NY 11201
445 Oak St
Copiague, NY 11726
Phone (631) 257-5173
712 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-0466
6729 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7001
16110 Jamaica Ave
Fl 2
Jamaica, NY 11432
Phone (718) 674-1000
10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202
50 W Hawthorne Ave
Fl 2
Valley Stream, NY 11580
Phone (718) 471-0200
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Ozone Park, NY
- NPI 1366430563
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1518313188
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1548373921
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
- Psychiatric/Mental Health Nurse Practitioner
- Bronx, NY
- NPI 1548910698
-
- Clinical Social Worker
- Glendale, NY
- NPI 1881910131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1578744314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "669 E 237TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104661409",
"telephone_number": "646-591-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3065 DANIELS RD # 1077",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347877002",
"telephone_number": "646-591-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORGIE",
"first_name": "ROAN",
"middle_name": "EMANUEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-20",
"last_updated": "2022-03-23",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "273030",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F403033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02907775",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.