Active NPI
Cynthia Lee Forrest, NP
- Nurse Practitioner
- Amsterdam, NY
National Provider Identifier
1659317543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F332290
- Practice address
- 427 Guy Park Ave
Amsterdam, NY 12010-1054 - Phone
- (518) 841-7237
- Fax
- (518) 841-3819
- NPI assigned
- Jun 21, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F332290 | NY | Primary |
Addresses
Primary practice location
427 Guy Park Ave
Amsterdam, NY 12010-1054
Mailing address
307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone (856) 686-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02326929 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F332290 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Healthcare | Past | Accepting new patients | |
| Atlantic Physician Services of Maryland, P.C. | Nurse Practitioner | Past | Accepting new patients |
| Atlantic Physician Services of Maryland, PC | Past | Accepting new patients | |
| Mayer and Cope Family Practice LLP | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Broadalbin, NY
- NPI 1932293651
-
- Psychiatric Hospital Unit
- Amsterdam, NY
- NPI 1164497103
-
- Physician Assistant
- Wilmington, DE
- NPI 1730129594
Nurse Practitioner
-
- Physician Assistant
- Baltimore, MD
- NPI 1174632376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1659317543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S EVERGREEN AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080962739",
"telephone_number": "856-686-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 GUY PARK AVE",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120101054",
"telephone_number": "518-841-7237",
"fax_number": "518-841-3819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORREST",
"first_name": "CYNTHIA",
"middle_name": "LEE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F332290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02326929",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amsterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.