DELMAR FAMILY MEDICINE - NPI 1336356039 - Family Medicine in Delmar, NY

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Delmar Family Medicine NPPES

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

DELMAR FAMILY MEDICINE (NPI 1336356039) is a healthcare organization registered as a family medicine in Delmar, New York and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through May 22, 2027 and lists Peter H Forman, Owner, as its authorized official.

NPPES Registry Identity

NPI1336356039

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFOREFRONT MEDICAL SERVICES, PLLC

Location Address785 DELAWARE AVEDelmar, NY 12054-9713

Mailing Address785 Delaware AveDelmar, NY 12054-9713 · (518) 320-7517 · Fax (518) 439-0214

Phone(518) 320-7517

Fax(518) 439-0214

Organization SubpartNo

Authorized OfficialPeter H FormanOwner · (518) 320-7517

Enumeration DateMay 16, 2007

Last NPPES UpdateFebruary 26, 2008

✔ NPI 1336356039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 228846-1

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

785 DELAWARE AVE, Delmar, NY 12054

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Other Names 1

Doing Business AsDelmar Family Medicine

Other Identifiers 3

Medicare UPINH86570NY

Medicare PINBA1149NY

Medicaid02423509NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D1068929

Forefront Medical Services PLLC Dba Delmar Family Medicine · Slingerlands, NY

Active · expires May 22, 2027

CLIA Number33D1068929

Laboratory TypePhysician Office

Certificate Effective DateMay 23, 2025

Certificate Expiration DateMay 22, 2027

Laboratory DirectorPeter H. Forman

Laboratory Phone(518) 320-7517

Laboratory LocationForefront Medical Services PLLC Dba Delmar Family Medicine1499 New Scotland Rd, Slingerlands, NY 12159

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

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

DR. ERICA MARIE SUFRIN PH.D.

Psychologist (Clinical)