Forest Hills Medical & Diagnostic

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

FOREST HILLS MEDICAL & DIAGNOSTIC

Practice address

1735 Pitkin Ave
Brooklyn, NY 11212-6603

Phone

(718) 576-6647

Fax

(718) 576-6648

NPI assigned

Mar 19, 2013

Organization subpart

No

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

Authorized official

Name

Osafradu Opam, MD

Title

President

Phone

(718) 576-6647

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1982946877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620715",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113620715",
            "telephone_number": "718-576-6647",
            "fax_number": "718-576-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126603",
            "telephone_number": "718-576-6647",
            "fax_number": "718-576-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILLS MEDICAL & DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "OPAM",
        "authorized_official_first_name": "OSAFRADU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-576-6647",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forefront Dermatology - East Professional, LLC
• Malika Foreman, LMSW
• Juan Forero
• Ruth M. Forero, PH.D.
• Forest Acupuncture P.C
• Forest Medcare P.C.
• Cindy Forestal
• Forever Green Medical PC
• Forever Health Medical Supply LLC
• Forever Health Pharmacy II, LLC

• Multi-Specialty Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.