Amy Miriam Forleiter, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9109681 Issued in FL

Practice address

670 Glades Rd Ste 220
Boca Raton, FL 33431-6464

Phone

(561) 394-6656

Fax

(561) 394-4022

NPI assigned

Sep 30, 2010

Last updated

Aug 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Hilton Becker MD PA

  • Specialist
  • Boca Raton, FL
  • NPI 1700066180
  NPD (past)

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1952610461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 NW 126TH AVE UNIT 223-5",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333236334",
            "telephone_number": "781-254-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 GLADES RD STE 220",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316464",
            "telephone_number": "561-394-6656",
            "fax_number": "561-394-4022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 E 38th St",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100162772",
            "country_code": "US",
            "telephone_number": "646-501-7223",
            "fax_number": "646-501-7234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORLEITER",
        "first_name": "AMY",
        "middle_name": "MIRIAM",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "014892",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9109681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Giacinto Forcione, M.D.
• Lori A Fordham-Bass, ARNP
• Michelle Hope Foreman
• Liliana Maria Forero
• Forevercare Elderly Support LLC
• Gavriel Forman
• Michelle Lichtstein Forman, R.P.T
• Trisha Dawn Formichetti, AU.D
• Vanessa Paige Forrest, FNP-C
• Martine R Forrester Cadette, DMD

• Surgical Physician Assistant in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.