ELIZABETH FORMAN APN
NPI 1154077444
Nurse Practitioner - Family in Deptford, NJ

Active since February 24, 2022
849 COOPER ST, DEPTFORD, NJ 08096(856) 848-6346 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Forman Apn NPPES

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

ELIZABETH FORMAN APN (NPI 1154077444) is an individual family provider in Deptford, New Jersey, licensed in New Jersey (26NJ01253500) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1154077444
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH FORMANCredential: APN
Location Address849 COOPER STDeptford, NJ 08096-2571
Mailing Address401 Route 73 N Ste 320Marlton, NJ 08053-3426
Sole ProprietorNo
Enumeration DateFebruary 24, 2022
NPPES CertifiedFebruary 24, 2022
NPI 1154077444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NJ · 26NJ01253500
849 COOPER ST, Deptford, NJ 08096

Other Providers at the Same Location NPPES 9

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

Pediatrics
849 COOPER ST
DEPTFORD, NJ 08096
Pediatrics
849 COOPER ST
DEPTFORD, NJ 08096
Nurse Practitioner (Pediatrics)
849 COOPER ST
DEPTFORD, NJ 08096
Pediatrics
849 COOPER ST
WOODBURY, NJ 08096
Pediatrics
849 COOPER ST
DEPTFORD, NJ 08096
Nurse Practitioner (Family)
849 COOPER ST
DEPTFORD, NJ 08096
Pediatrics
849 COOPER ST
DEPTFORD, NJ 08096
Pediatrics
849 COOPER ST
DEPTFORD, NJ 08096

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Forman's NPI number?

The NPI number for Elizabeth Forman is 1154077444. It was assigned to this individual provider in the NPPES registry on February 24, 2022.

Where is Elizabeth Forman located?

Elizabeth Forman practices at 849 Cooper St, Deptford, NJ 08096. The listed phone number is (856) 848-6346.

What is Elizabeth Forman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Forman was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.