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DR. HOWARD LEON FORMAN M.D.
NPI 1760642409
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since June 16, 2008PECOS Enrolled
100/100
CMS Quality Rating
111 E 210TH ST, KLAU 1 RED ZONE, BRONX, NY 10467(718) 920-2952 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Howard Leon Forman M.d. NPPES

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

DR. HOWARD LEON FORMAN M.D. (NPI 1760642409) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2008).

NPPES Registry Identity

NPI1760642409
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. HOWARD LEON FORMANCredential: M.D.
Location Address111 E 210TH ST, KLAU 1 RED ZONEBronx, NY 10467-2401
Mailing Address111 E 210th St, Klau 1 Red ZoneBronx, NY 10467-2401 · (718) 920-2952
Phone(718) 920-2952
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2008
Enumeration DateJune 16, 2008
Last NPPES UpdateDecember 13, 2011
✔ NPI 1760642409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 E 210TH ST, Bronx, NY 10467
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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. Howard Leon Forman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022264134
PECOS Enrollment IDI20120806000394
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

DR. MADHU SHARMA MD
Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (718) 741-2538
DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Howard Forman's NPI number?

The NPI number for Howard Forman is 1760642409. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Howard Forman located?

Howard Forman practices at 111 E 210th St Klau 1 Red Zone, Bronx, NY 10467. The listed phone number is (718) 920-2952.

What is Howard Forman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Howard Forman enrolled in Medicare?

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

Is Howard Forman affiliated with any hospitals?

According to CMS data, Howard Forman is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Howard Forman was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.