Organization Active NPI

Forward Orthopedic and Spine Center LLC

  • Medical Specialty Clinic/Center
  • Farmington, CT
National Provider Identifier
1669237764
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
FORWARD ORTHOPEDIC AND SPINE CENTER LLC
Practice address
130 Birdseye Rd
Farmington, CT 06032-2444
Phone
(860) 247-3279
NPI assigned
Feb 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Dr. Morenikeji Buraimoh, MDNPI 1356603260
Title
Principal
Phone
(617) 281-4340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

130 Birdseye Rd
Farmington, CT 06032-2444

Mailing address

130 Birdseye Rd
Farmington, CT 06032-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250717002361 CT Part B Supplier - Clinic/Group Practice 4587179577 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1669237764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BIRDSEYE RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BIRDSEYE RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322444",
            "telephone_number": "860-247-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD ORTHOPEDIC AND SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "BURAIMOH",
        "authorized_official_first_name": "MORENIKEJI",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "617-281-4340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.