DR. ELLIOT LANCE FORMAN D.C.
NPI 1902980071
Chiropractor in Hauppauge, NY

Active since October 25, 2006Accepts Medicare Assignment
515 ROUTE 111, SUITE 101, HAUPPAUGE, NY 11788(631) 265-2225(631) 265-3610 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. Elliot Lance Forman D.c. NPPES

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

DR. ELLIOT LANCE FORMAN D.C. (NPI 1902980071) is an individual chiropractor in Hauppauge, New York, licensed in New York (04839) and active in the NPI registry since October 2006. He is a graduate of New York Chiropractic College (1986).

NPPES Registry Identity

NPI1902980071
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. ELLIOT LANCE FORMANCredential: D.C.
Location Address515 ROUTE 111, SUITE 101Hauppauge, NY 11788-4339
Mailing Address515 Route 111, Suite 101Hauppauge, NY 11788-4339 · (631) 265-2225 · Fax (631) 265-3610
Fax(631) 265-3610
Sole ProprietorYes
Medical School CMSNew York Chiropractic CollegeGraduated 1986
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1902980071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NY · 04839
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

515 ROUTE 111, Hauppauge, NY 11788

Other Identifiers 1

Medicare ID-Type UnspecifiedX35741NY · Chiropractor

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Elliot Lance Forman D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446382089
PECOS Enrollment IDI20100719000266

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
915 services71 patients

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Interventional Cardiology)
515 ROUTE 111, 2ND FLOOR
HAUPPAUGE, NY 11788
Internal Medicine
515 ROUTE 111, FL 2
HAUPPAUGE, NY 11788
Nurse Practitioner (Family)
515 ROUTE 111
HAUPPAUGE, NY 11788
Family Medicine
515 ROUTE 111
HAUPPAUGE, NY 11788
Specialist
515 ROUTE 111, 2ND FLOOR
HAUPPAUGE, NY 11788
Internal Medicine (Interventional Cardiology)
515 ROUTE 111, 2ND FLOOR
HAUPPAUGE, NY 11788
Physical Therapist
515 ROUTE 111
HAUPPAUGE, NY 11788

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 Elliot Forman's NPI number?

The NPI number for Elliot Forman is 1902980071. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Elliot Forman located?

Elliot Forman practices at 515 Route 111 Suite 101, Hauppauge, NY 11788. The listed phone number is (631) 265-2225.

What is Elliot Forman's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Elliot Forman enrolled in Medicare?

Yes. Elliot Forman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elliot Forman accept?

Health plans from Providence Health Plan list Elliot Forman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

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