Individual provider Active NPI

Albert Joseph Fornace Jr.

  • Anatomic Pathology Physician
  • Washington, DC
National Provider Identifier
1629983564
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
INACTIVE Issued in MD
Practice address
3970 Reservoir Rd NW RM E504
Washington, DC 20007-2126
Phone
(202) 687-7843
NPI assigned
Aug 17, 2026
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X INACTIVE MD Primary

Addresses

Primary practice location

3970 Reservoir Rd NW RM E504
Washington, DC 20007-2126

Mailing address

3970 Reservoir Rd NW RM E504
Washington, DC 20007-2126
Phone (202) 687-7843

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

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1629983564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 RESERVOIR RD NW RM E504",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072126",
            "telephone_number": "202-687-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 RESERVOIR RD NW RM E504",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072126",
            "telephone_number": "202-687-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNACE",
        "first_name": "ALBERT",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MD",
            "license": "INACTIVE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.