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DR. JEROME SCOTT FORMAN D.M.D.
NPI 1679650931
Dentist - General Practice in Kenilworth, NJ

Active since November 01, 2006PECOS Enrolled
513 BOULEVARD, KENILWORTH, NJ 07033(908) 276-6652(908) 709-4337 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerome Scott Forman D.m.d. NPPES

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

DR. JEROME SCOTT FORMAN D.M.D. (NPI 1679650931) is an individual general practice provider in Kenilworth, New Jersey, licensed in New Jersey (14638) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679650931
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEROME SCOTT FORMANCredential: D.M.D.
Location Address513 BOULEVARDKenilworth, NJ 07033-1637
Mailing Address513 BoulevardKenilworth, NJ 07033-1637 · (908) 276-6652 · Fax (908) 709-4337
Phone(908) 276-6652
Fax(908) 709-4337
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679650931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NJ · 14638
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
513 BOULEVARD, Kenilworth, NJ 07033
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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. Jerome Scott Forman D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DAVID ALLEN STEELE DMD
Dentist (General Practice)
513 BOULEVARD
KENILWORTH, NJ 07033
Union County (908) 276-6652
MONDOVI DENTAL OF NEW JERSEY - BEJARANO PC
Dentist (General Practice)
513 BOULEVARD
KENILWORTH, NJ 07033
Union County (908) 276-6652
KENILWORTH DENTAL ASSOCIATES, LLC
Dentist (General Practice)
513 BOULEVARD
KENILWORTH, NJ 07033
Union County (908) 276-6652

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 Jerome Forman's NPI number?

The NPI number for Jerome Forman is 1679650931. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Jerome Forman located?

Jerome Forman practices at 513 Boulevard, Kenilworth, NJ 07033. The listed phone number is (908) 276-6652.

What is Jerome Forman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jerome Forman enrolled in Medicare?

Yes. Jerome Forman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerome 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.