Everett Forman PC
NPI 1144402983 · General Practice Physician · Latham, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Everett Forman PC is a General Practice Physician organization in Latham, NY (NPI 1144402983).
Provider details
- NPI number
- 1144402983
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Everett Forman, President(518) 899-6657
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Medi Scene
Registry dates
- Enumerated
- 2007-12-04
- Last updated
- 2007-12-19
Frequently asked questions
- What is Everett Forman PC's NPI number?
- Everett Forman PC's National Provider Identifier (NPI) is 1144402983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Everett Forman PC?
- Everett Forman PC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Everett Forman PC located?
- Everett Forman PC's practice location on file with NPPES is 585 Troy Schenectady Rd, Latham, NY 12110-2811.
- What is Everett Forman PC's phone number?
- The practice phone number listed in the NPPES registry for Everett Forman PC is (518) 785-6004.
- Does Everett Forman PC accept Medicare?
- Everett Forman PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Everett Forman PC?
- The authorized official listed on Everett Forman PC's NPPES record is Everett Forman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Everett Forman PC's NPI active?
- Yes — Everett Forman PC's NPI (1144402983) is active in the NPPES registry as of the last update on 2007-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.