Aryeh Leib Forman, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN25949 Issued in FL

Practice address

1505 NW 167TH St Ste 100
Miami, FL 33169-5133

Phone

(305) 625-5400

Fax

(305) 625-8110

NPI assigned

Apr 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Mark a Herman DMD P.a.

  • General Practice Dentistry
  • Delray Beach, FL
  • NPI 1467837401
  NPD (past)
• Monem Dental LLC

  • General Practice Dentistry
  • Miami, FL
  • NPI 1538545561
  NPD (past)
• Barry N. Eisenman, DMD, LLC

  • Dental Clinic/Center
  • Hamburg, NJ
  • NPI 1093036519
  NPD (past)

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

{
    "created_epoch": "1618704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1790366177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NW 167TH ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695133",
            "telephone_number": "847-420-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 NW 167TH ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695133",
            "telephone_number": "305-625-5400",
            "fax_number": "305-625-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11-03 upton pl",
            "address_purpose": "LOCATION",
            "city": "fair lawn",
            "state": "NJ",
            "postal_code": "07410",
            "country_code": "US",
            "telephone_number": "847-420-1293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NJ",
            "postal_code": "074191341",
            "country_code": "US",
            "telephone_number": "973-827-8804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5329 Atlantic Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334848142",
            "country_code": "US",
            "telephone_number": "561-498-0015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4175 SW 64th Ave",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333143459",
            "country_code": "US",
            "telephone_number": "847-420-1293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "ARYEH",
        "middle_name": "LEIB",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-18",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02862100",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Forhat Aguililla
• Nancy Del Carmen Forjan Garcia
• Natalia Isabel Forjan, OD
• Ivy Fletcher Forkner, M.D.
• Forma Physiotherapy LLC
• Formar Enterprises
• Maria E. Formas, M.D.
• Chaveli Formoso Real
• Leopoldo J Formoso-Murias, MD
• Alexander Leopoldo Formoso, M.D.

• General Practice Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2024; 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.