Individual provider Active NPI

Heather Forgash, APN

  • Family Nurse Practitioner
  • Hamilton, NJ
National Provider Identifier
1679045686
Registry record updated Jan 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00888800 Issued in NJ
Practice address
2271 Highway 33 Ste 103
Hamilton, NJ 08690-1749
Phone
(609) 890-4080
NPI assigned
Jan 2, 2019
Last updated
Jan 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00888800 NJ Primary

Addresses

Primary practice location

2271 Highway 33 Ste 103
Hamilton, NJ 08690-1749

Mailing address

17 Saxony Dr
Cinnaminson, NJ 08077-4389
Phone (856) 979-2098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190315001969 NJ Practitioner - Nurse Practitioner 5395085013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Orthopedic Professional AssociationGroup PAC ID 1456325372, 14 clinicians

Practice addresses (Care Compare)

499 Cooper Landing Rd
Cherry Hill, NJ 08002-2504
Phone (856) 663-7080

Merit-based Incentive Payment System (MIPS)

Final score
73.54 of 100Reported as group
Quality
50.73
Promoting interoperability
96
Improvement activities
40
Cost
64.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00888800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Orthopedic Professional Association CurrentSince Feb 1, 2022 Accepting new patients
Pain Control Associates, PC Past Accepting new patients

Locations

499 Cooper Landing Rd
Cherry Hill, NJ 08002
Phone (856) 482-8747

163 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (856) 663-7080

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546646400000",
    "number": "1679045686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SAXONY DR",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080774389",
            "telephone_number": "856-979-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 HIGHWAY 33 STE 103",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086901749",
            "telephone_number": "609-890-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORGASH",
        "first_name": "HEATHER",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00888800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.