Active NPI
Kimberly Marie Forney, DMD
- Dentist
- Hoboken, NJ
National Provider Identifier
1629343199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DI02550800
- Practice address
- 1216 Washington St
Hoboken, NJ 07030-5453 - Phone
- (201) 386-8090
- Fax
- (201) 386-9082
- NPI assigned
- Mar 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DI02550800 | NJ | Primary |
Addresses
Primary practice location
1216 Washington St
Hoboken, NJ 07030-5453
Mailing address
157 14TH St
Apt 4R
Hoboken, NJ 07030-4449
Phone (781) 572-2851
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI02550800 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1629343199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 14TH ST",
"address_2": "APT 4R",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070304449",
"telephone_number": "781-572-2851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 WASHINGTON ST",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305453",
"telephone_number": "201-386-8090",
"fax_number": "201-386-9082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORNEY",
"first_name": "KIMBERLY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-17",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "DI02550800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.