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FORESTDALE, INC.
NPI 1790803831
Foster Care Agency in Forest Hills, NY

Active since March 27, 2007CLIA 33D2051320 · Waiver
67-35 112TH STREET, FOREST HILLS, NY 11375(718) 263-0740(718) 263-8967 Get Directions Write a Review

NPPES record last updated: December 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Forestdale, Inc. NPPES

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

FORESTDALE, INC. (NPI 1790803831) is a healthcare organization registered as a foster care agency in Forest Hills, New York and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists William Weisberg, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1790803831
Entity TypeOrganization
Primary Taxonomy253J00000X
Legal Business NameFORESTDALE, INC.
Location Address67-35 112TH STREETForest Hills, NY 11375
Mailing Address67-35 112th StreetForest Hills, NY 11375 · (718) 263-0740 · Fax (718) 263-8967
Phone(718) 263-0740
Fax(718) 263-8967
Organization SubpartNo
Authorized OfficialWilliam WeisbergExecutive Director · (718) 263-0740
Enumeration DateMarch 27, 2007
Last NPPES UpdateDecember 28, 2016
✔ NPI 1790803831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFoster Care AgencyAgencies
Taxonomy Code253J00000X
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
Also ListedVoluntary or CharitableTaxonomy 251V00000X
67-35 112TH STREET, Forest Hills, NY 11375
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Other Identifiers 1

Medicaid00343320NY

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 of Waiver 33D2051320

Forestdale Inc · Forest Hills, NY
Active · expires Mar 26, 2027
CLIA Number33D2051320
Laboratory TypeFoster Care Agency
Certificate Effective DateDecember 18, 2012
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Allison R. Bloom
Laboratory Phone(718) 263-0740
Laboratory LocationForestdale Inc67-35 112th St - Bldg 3, Forest Hills, NY 11375
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LINDSAY NYLAND
Social Worker (Clinical)
67-35 112TH STREET
FOREST HILLS, NY 11375
Queens County (914) 216-7577

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 Forestdale, Inc.'s NPI number?

The NPI number for Forestdale, Inc. is 1790803831. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Forestdale, Inc. located?

Forestdale, Inc. is located at 67-35 112th Street, Forest Hills, NY 11375. The listed phone number is (718) 263-0740.

What is Forestdale, Inc.'s specialty?

The primary specialty registered for this NPI is Foster Care Agency with taxonomy code 253J00000X.

Does Forestdale, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2051320) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Forestdale, Inc. was last updated on December 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.