Mark Allen Forgang, R.P

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RS00371900 Issued in NJ

Practice address

3317 Sunset Ave
Ocean, NJ 07712-4554

Phone

(732) 775-3600

NPI assigned

Aug 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• S&J Ventures Inc

  • Durable Medical Equipment & Medical Supplies
  • Ocean, NJ
  • NPI 1184897308
  NPD (past) Authorized official
• Jai Shri Ganesh LLC

  • Community/Retail Pharmacy
  • Ocean, NJ
  • NPI 1104211382
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619084506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 SUNSET AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124554",
            "telephone_number": "732-775-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 SUNSET AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124554",
            "telephone_number": "732-775-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORGANG",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "R.P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RS00371900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4367502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Fico
• Kevin Fischer, DC
• Benjamin Fisher, PHARMD
• Ellen Beth Flashburg, P.T., O.T.
• Food Circus Supermarkets Inc.
• Laura Magnhild Francis, CRNP
• Samantha Frey
• Martin Daniel Fried, MD
• G.M. Dental Center Inc.
• Jonathan Gabor, MD

• Pharmacist in Ocean, NJ
• Providers in Ocean, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.