RICHARD A FORBERG (NPI# 1326341207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326341207 |
| Entity Type | Individual |
| Full Name | RICHARD A FORBERG |
| Credential | EMT |
| Practice Address |
16 Adams Ln Hainesport NJ 08036-2600 |
| Practice Telephone | 6099141700 |
| Mailing Telephone | 6099141700 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 530134 | NJ | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NJ DEPT OF HEALTH & SENIOR SERVICES | 530134 | 01 |
| Street Address |
16 ADAMS LN |
| City | HAINESPORT |
| State | NJ |
| Zip Code | 08036-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043418353 | Anne L Stager | Social Worker | 16 Adams Ln, Hainesport, NJ 08036-2600 | 2007-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915736 | Anthony Nguyen | Physical Therapist | Plaza 38 Shopping Center, 1509 Route 38, Suite 4, Hainesport, Nj 08036, NJ 08036 | 2019-07-26 |
| 1285133454 | Emily J Martinie | Advanced Practice Midwife | 400 Creek Crossing Blvd, 412, Hainesport, NJ 08036 | 2018-02-02 |
| 1609198381 | Michel Hyppolite | Family Medicine | 18 Bancroft Lane, Hamesport, NJ 08036 | 2010-02-22 |
| 1700119765 | Christopher T. Taylor Dc, PC | Chiropractor | 1308 Rt 38, Hainesport, NJ 08036 | 2009-09-09 |
| 1457584864 | Ken Sing Cheng | Physical Therapist | 1299 Route 38, Suite 9, Hainesport, NJ 08036 | 2009-09-02 |
| 1659514438 | Christine Kirkbride | Counselor | 1289 Route 38 Ste 203, Hainesport, NJ 08036 | 2009-04-09 |
| 1992960991 | Roanna Espino Alcera | Family Medicine | 103 Creek Crossing Boulevard, Hainesport, NJ 08036 | 2008-07-19 |
| 1255526448 | H2 Rehabilitation Services of New Jersey, LLC | Clinic/Center | 300 Creek Crossing Blvd, Suite 308, Hainesport, NJ 08036 | 2007-09-11 |
| 1811197692 | Rebecca Knight Warren | Physical Therapist | Creek Crossing Blvd, Blding 100, Ste 107, Hainesport, NJ 08036 | 2007-07-20 |
| 1235213471 | Ross Center for Orthopedics, LLC | Orthopaedic Surgery | 300 Creek Crossing Boulevard, Suite 307, Hainesport, NJ 08036 | 2006-10-24 |
| Find all providers in zip 08036 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715430 | Christian Angelo Ventura | Emergency Medical Technician, Basic | 3150 Brunswick Ave, Lawrenceville, NJ 08648-2420 | 2020-09-20 |
| 1447888995 | Ohene Offei | Emergency Medical Technician, Basic | 126 Paterson St, New Brunswick, NJ 08901-1961 | 2020-03-31 |
| 1912560319 | Lucy Zhu | Emergency Medical Technician, Basic | 19 Birch Dr, Plainsboro, NJ 08536-1951 | 2019-04-22 |
| 1316405384 | Keith Phillips | Emergency Medical Technician, Basic | 39 Wilbur Ave, Newark, NJ 07112-2311 | 2019-03-07 |
| 1265928139 | Amro H Dafeella | Emergency Medical Technician, Basic | 626 Central Ave Ste 5, East Orange, NJ 07018-1438 | 2018-07-03 |
| 1609305275 | Hatzalah Emergency Medical Services of The Jersey Shore A Nj Nonprofit | Emergency Medical Technician, Basic | 167 Monmouth Rd, Oakhurst, NJ 07755-1566 | 2017-06-07 |
| 1033656616 | William J Galese | Emergency Medical Technician, Basic | 1839 County Rd 565, Glenwood, NJ 07418-1048 | 2017-01-20 |
| 1558803866 | Tawana James | Emergency Medical Technician, Basic | 9-23 8th Ave, Passaic, NJ 07055-2151 | 2016-11-17 |
| 1760842116 | Mohammed Ateeli | Emergency Medical Technician, Basic | 383 Park Ave, 1st Floor, Fairview, NJ 07022-1116 | 2016-02-27 |
| 1316312861 | Quawi Hendrick | Emergency Medical Technician, Basic | 39 Kearny St, Newark, NJ 07104-2611 | 2015-12-09 |
| Find all providers with the same taxonomy | ||||
| City | HAINESPORT |
| Zip Code | 08036 |
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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.