Active NPI
Stanley Orkin Forman, MD
- Allergy & Immunology (Internal Medicine) Physician
- Merion Station, PA
National Provider Identifier
1730182858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- MD024143E
- Practice address
- 40 Old Lancaster Rd Apt 412
Merion Station, PA 19066 - Phone
- (267) 388-9763
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD024143E | PA | |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | MD024143E | PA | Primary |
Addresses
Primary practice location
40 Old Lancaster Rd Apt 412
Merion Station, PA 19066
Mailing address
40 Old Lancaster Rd Apt 412
Merion Station, PA 19066-1761
Phone (267) 388-9763
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD024143E | PA | MD | Allergy & Immunology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PSF PLLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528588800000",
"number": "1730182858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 OLD LANCASTER RD APT 412",
"city": "MERION STATION",
"state": "PA",
"postal_code": "190661761",
"telephone_number": "267-388-9763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 OLD LANCASTER RD APT 412",
"city": "MERION STATION",
"state": "PA",
"postal_code": "19066",
"telephone_number": "267-388-9763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORMAN",
"first_name": "STANLEY",
"middle_name": "ORKIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2018-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "PA",
"license": "MD024143E",
"primary": false
},
{
"code": "207RA0201X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "PA",
"license": "MD024143E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merion Station, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.