Individual provider Active NPI

Donna M Forker, RPA-C

  • Medical Physician Assistant
  • Farmingdale, NY
National Provider Identifier
1912139775
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
013222 Issued in NY
Practice address
8 Juniper St
Farmingdale, NY 11735-5345
Phone
(516) 249-3924
NPI assigned
Aug 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 013222 NY Primary

Addresses

Primary practice location

8 Juniper St
Farmingdale, NY 11735-5345

Mailing address

8 Juniper St
Farmingdale, NY 11735-5345
Phone (516) 249-3924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140210000156 NY Practitioner - Physician Assistant 0648454868 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013222NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Jan 1, 2018 Accepting new patients
Mount Sinai School of Medicine CurrentSince Mar 11, 2024 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Jan 1, 2018 Accepting new patients
Mount Sinai School of Medicine CurrentSince Mar 11, 2024 Accepting new patients

Locations

2339 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 520-3053

5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 797-2657

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 7

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": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1912139775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JUNIPER ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355345",
            "telephone_number": "516-249-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JUNIPER ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355345",
            "telephone_number": "516-249-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORKER",
        "first_name": "DONNA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "013222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

Verify at the official NPI Registry.