STEVEN S. FORMAN D.D.S., P.C. (NPI# 1023192499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023192499 |
| Entity Type | Organization |
| Organization Name | STEVEN S. FORMAN D.D.S., P.C. |
| Practice Address |
65 Mountain Blvd Ext Suite 204 Warren NJ 07059-2632 |
| Practice Telephone | 7323561777 |
| Practice Fax Number | 7323023082 |
| Mailing Telephone | 7323561777 |
| Mailing Fax Number | 7323023082 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. STEVEN SAMUEL FORMAN (PRESIDENT) |
| Authorized Official Telephone | 7323561777 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
011442 | NJ | Ambulatory Health Care Facilities |
| Street Address |
65 MOUNTAIN BLVD EXT SUITE 204 |
| City | WARREN |
| State | NJ |
| Zip Code | 07059-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447212154 | August G Salvatore | Internal Medicine | 65 Mountain Blvd Ext, Ste 209, Warren, NJ 07059 | 2006-04-06 |
| 1811372840 | Clark Warren Associates In Internal Medicine | Internal Medicine | 65 Mountain Blvd Ext, 209, Warren, NJ 07059-2632 | 2015-07-20 |
| 1750584892 | Eileen C. Lutz | Social Worker | 65 Mountain Blvd Ext, Warren, NJ 07059-2632 | 2007-06-07 |
| 1427175280 | Candice Anne Alvarez | Social Worker | 65 Mountain Blvd Ext, Suite 210, Warren, NJ 07059-2632 | 2007-03-24 |
| 1376678235 | Women's Health Care of Warren, Pa | Obstetrics & Gynecology | 65 Mountain Blvd Ext, Suite 201, Warren, NJ 07059 | 2007-02-22 |
| 1851438261 | Optical Associates, LLC | Eyewear Supplier (Equipment, not the service) | 65 Mountain Blvd Ext, Warren, NJ 07059-2632 | 2007-02-01 |
| 1134287600 | The Eye Center | Ophthalmology | 65 Mountain Blvd Ext, Warren, NJ 07059-2632 | 2006-12-05 |
| 1235200387 | George William Lutz | Internal Medicine | 65 Mountain Blvd Ext, Suite 210, Warren, NJ 07059-2632 | 2006-11-12 |
| 1265546550 | Steven Samuel Forman | Dentist | 65 Mountain Blvd Ext, Suite 204, Warren, NJ 07059-2632 | 2006-08-17 |
| 1326084088 | Gerard Fritz | Pediatrics | 65 Mountain Blvd Ext, Warren, NJ 07059-2632 | 2006-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245680826 | Brightview Warren, LLC | Alzheimer Center (Dementia Center) | 55 Mt. Bethel Road, Warren, NJ 07059 | 2016-06-15 |
| 1245617786 | Mt Bethel Day Program LLC | Clinic/Center | 67 Mountain Blvd, Suite 201, Warren, NJ 07059 | 2015-05-05 |
| 1831509413 | Chandana Pande | Internal Medicine | 34 Moutain Blvd, Warren, NJ 07059 | 2014-05-05 |
| 1740624121 | Prakhar Mehrotra | Dentist | 58 Mount Bethel Rd Ste 202, Warren, NJ 07059 | 2013-04-29 |
| 1558680231 | International Healthcare of Nj | Specialist | 3 Tiffanys Way, Warren, NJ 07059 | 2010-05-20 |
| 1740430495 | Danielle Lynnette Neumann | Physical Therapist | 247 King George Rd, Warren, NJ 07059 | 2008-09-30 |
| 1831358381 | Linda Zhang | Ophthalmology | 65 Mountain Blvd. Ext, Ste. 105, Warren, NJ 07059 | 2008-06-09 |
| 1356515597 | Tiffany Lynn Scott | Pediatrics | 76 Stirling Rd., Suite 201, Warren, NJ 07059 | 2008-04-18 |
| 1710011283 | Vincent Frederick Colon | Psychiatry & Neurology | 161 Washington Valley Road, Suite #206, Warren, NJ 07059 | 2007-03-15 |
| 1972666089 | Kwei Ping Shen Kwei | Dentist | 108 Mt Bethel Rd, Warren, NJ 07059 | 2006-12-19 |
| Find all providers in zip 07059 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200236 | Rem Dds Pllc | Clinic/Center | 12415 E 12 Mile Rd Ste 2, Warren, MI 48093-3586 | 2018-10-05 |
| 1598274896 | Deluxe Dental Group LLC | Clinic/Center | 161 Washington Valley Rd Ste 202, Warren, NJ 07059-7177 | 2017-09-29 |
| 1699015339 | Professional Periodontics | Clinic/Center | 30101 Hoover Rd Ste A, Warren, MI 48093-6572 | 2013-02-17 |
| 1649870767 | Z & W Pllc | Clinic/Center | 32837 Hayes Rd, Warren, MI 48088-7367 | 2020-10-28 |
| 1174135149 | Ballo Dds PC | Clinic/Center | 23105 Van Dyke Ave, Warren, MI 48089-1622 | 2020-08-20 |
| 1396393864 | El-awadi Dds, Pllc | Clinic/Center | 26000 Hoover Rd Ste 102, Warren, MI 48089-1167 | 2019-08-28 |
| 1578967881 | Hoover Family Dental Pllc | Clinic/Center | 26000 Hoover Rd, Suite # 102, Warren, MI 48089 | 2014-10-15 |
| 1891944294 | Jonathan B. Vane Dmd, P.C.. | Clinic/Center | 38 State St, Warren, RI 02885-3128 | 2008-09-10 |
| 1841462843 | Kenneth D. Lapolla, D.d.s,, Inc | Clinic/Center | 8588 E Market St, Warren, OH 44484-2339 | 2008-03-31 |
| 1982800066 | Steven E. Watts Dds Inc | Clinic/Center | 542 Niles Cortland Rd Se, Warren, OH 44484-2474 | 2007-06-25 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.