Everett Forman, M.D

ActiveIndividual ProviderGeneral Practice
NPI issued: May 31, 2005

Quick Facts

NPI Number
1528061967
TypeIndividual
StatusActive
SpecialtyGeneral Practice
Taxonomy208D00000X — General Practice
Phone
(518) 785-6004
StateNY

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1528061967)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (May 31, 2005)
Data source: CMS NPPES

Provider Overview

EVERETT FORMAN, M.D is a General Practice provider based in Latham, NY who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1528061967
Provider TypeIndividual Provider
GenderMale
CredentialM.D
StatusActive
Enumeration DateMay 31, 2005

Practice Location

CityLatham
StateNY
ZIP Code12110-2811
Phone(518) 785-6004

Specialties & Licenses

★ Primary
SpecialtyGeneral Practice
Taxonomy Code208D00000X
License StateNY

Mailing Address

CityLatham
StateNY
ZIP Code12110-2811
Phone(518) 785-6004
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1528061967 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1528061967for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1528061967 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About General Practice

General Practice Dentists diagnose and treat oral health issues, performing preventative cleanings, cavity fillings, root canals, crowns, and education on dental hygiene.

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People Also Ask

What is Everett Forman's NPI number?
Everett Forman's NPI number is 1528061967, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Everett Forman's NPI currently active?
Yes, Everett Forman's NPI status is Active as of the latest CMS NPPES database updates.
What does Everett Forman specialize in?
Everett Forman specializes in General Practice. The healthcare taxonomy code associated with this specialty is 208D00000X.
Where does Everett Forman practice?
Everett Forman practices in Latham, NY 12110-2811.
When was Everett Forman's NPI issued?
Everett Forman's NPI was issued on May 31, 2005.
What is Everett Forman's provider type?
Everett Forman is registered as an Individual Provider under CMS NPI Type 1.