DR. PHILLIP FORMAN DPM
NPI 1386627412
Podiatrist in Staten Island, NY

Active since November 22, 2005
242 MASON AVE, STATEN ISLAND, NY 10305(718) 226-6340(718) 226-6178 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Phillip Forman Dpm NPPES

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

DR. PHILLIP FORMAN DPM (NPI 1386627412) is an individual podiatrist in Staten Island, New York, licensed in New York (005142) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1386627412
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. PHILLIP FORMANCredential: DPM
Location Address242 MASON AVEStaten Island, NY 10305-3408
Mailing Address1 Edgewater St, Suite 723Staten Island, NY 10305-4900 · (718) 226-1047 · Fax (718) 226-1039
Fax(718) 226-6178
Sole ProprietorNo
Enumeration DateNovember 22, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1386627412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in NY · 005142
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

242 MASON AVE, Staten Island, NY 10305

Other Identifiers 3

Medicare ID-Type UnspecifiedP58711NY
Medicare ID-Type Unspecified01774890NY
Medicare UPINP72373NY

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.

Audiologist-Hearing Aid Fitter
242 MASON AVE
STATEN ISLAND, NY 10305
Pediatrics (Adolescent Medicine)
242 MASON AVE
STATEN ISLAND, NY 10305
Internal Medicine (Geriatric Medicine)
242 MASON AVE
STATEN ISLAND, NY 10305
Student in an Organized Health Care Education/Training Program
242 MASON AVE
STATEN ISLAND, NY 10305
Nurse Practitioner (Family)
242 MASON AVE
STATEN ISLAND, NY 10305
Audiologist-Hearing Aid Fitter
242 MASON AVE, AUDIOLOGY FIRST FLOOR
STATEN ISLAND, NY 10305
Audiologist-Hearing Aid Fitter
242 MASON AVE
STATEN ISLAND, NY 10305
Occupational Therapist (Hand)
242 MASON AVE
STATEN ISLAND, NY 10305

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 Phillip Forman's NPI number?

The NPI number for Phillip Forman is 1386627412. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Phillip Forman located?

Phillip Forman practices at 242 Mason Ave, Staten Island, NY 10305. The listed phone number is (718) 226-6340.

What is Phillip Forman's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Phillip Forman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.