DR. NATALIE FORDJOUR MD
NPI 1073255493
Student in an Organized Health Care Education/Training Program in Farmington, CT

Q: What is Natalie Fordjour's NPI number?

The NPI number for Natalie Fordjour is 1073255493. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Q: What is Natalie Fordjour's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Natalie Fordjour was last updated on April 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 07, 2022PECOS Enrolled

263 FARMINGTON AVE # LG065, FARMINGTON, CT 06030(860) 679-4988(860) 679-3489 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Natalie Fordjour Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NATALIE FORDJOUR MD (NPI 1073255493) is an individual student in an organized health care education/training program in Farmington, Connecticut and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073255493

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. NATALIE FORDJOURCredential: MD

Location Address263 FARMINGTON AVE # LG065Farmington, CT 06030-0001

Mailing Address263 Farmington AveFarmington, CT 06030-1921 · (860) 679-2147

Phone(860) 679-4988

Fax(860) 679-3489

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 7, 2022

NPPES CertifiedApril 5, 2022

✔ NPI 1073255493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

263 FARMINGTON AVE # LG065, Farmington, CT 06030

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Natalie Fordjour Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789182429

PECOS Enrollment IDI20250812000923

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220015

Location30 Locust StreetNorthampton, MA 01060 · Hampshire County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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