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

Q: 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.

Q: What is Phillip Forman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Phillip Forman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

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: August 16, 2026.

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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

Phone(718) 226-6340

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

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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.

MS. JUDITH SALTIEL MS, CCC-A

Audiologist-Hearing Aid Fitter

242 MASON AVE
STATEN ISLAND, NY 10305

Richmond County (718) 226-6070

DR. EDWARD D MCCABE DO

Pediatrics (Adolescent Medicine)

242 MASON AVE
STATEN ISLAND, NY 10305

Richmond County (718) 226-6262

DR. GIOVANNIE JEAN-BAPTISTE MD

Internal Medicine (Geriatric Medicine)

242 MASON AVE
STATEN ISLAND, NY 10305

Richmond County (718) 226-1458

MUSTAPHA KOBEYSSI

Student in an Organized Health Care Education/Training Program

242 MASON AVE
STATEN ISLAND, NY 10305

Richmond County (718) 226-6494

RACHEAL G JOSHUA FNP-C

Nurse Practitioner (Family)

242 MASON AVE
STATEN ISLAND, NY 10305

Richmond County (718) 226-6132

MS. PAMELA BELLA MARX MS,CCC-A

Audiologist-Hearing Aid Fitter

242 MASON AVE, AUDIOLOGY FIRST FLOOR
STATEN ISLAND, NY 10305

Richmond County (718) 226-8624

MS. LIAT AZOULAY M.S.CCC-A

Audiologist-Hearing Aid Fitter

242 MASON AVE
STATEN ISLAND, NY 10305

Richmond County (718) 226-6070

MR. BARRY LEI OTR/L, CHT

Occupational Therapist (Hand)

242 MASON AVE
STATEN ISLAND, NY 10305

Richmond County (718) 226-6365

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.