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Phillip Forman, DPM
NPI 1386627412 · Podiatrist · Staten Island, NY
Phillip Forman, DPM is a Podiatrist provider in Staten Island, NY (NPI 1386627412).
Provider details
- NPI number
- 1386627412
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 005142 (NY)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
242 Mason Ave
Staten Island, NY 10305-3408
Phone: (718) 226-6340
Fax: (718) 226-6178
Street-level locationGet directions
Mailing address
1 Edgewater St
Staten Island, NY 10305-4900
Registry dates
- Enumerated
- 2005-11-22
- Last updated
- 2007-07-08
Frequently asked questions
- What is Phillip Forman's NPI number?
- Phillip Forman's National Provider Identifier (NPI) is 1386627412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phillip Forman's specialty?
- Phillip Forman is listed in the NPPES registry with a primary specialty of Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Phillip Forman located?
- Phillip Forman's practice location on file with NPPES is 242 Mason Ave, Staten Island, NY 10305-3408.
- What is Phillip Forman's phone number?
- The practice phone number listed in the NPPES registry for Phillip Forman is (718) 226-6340.
- Is Phillip Forman's NPI active?
- Yes — Phillip Forman's NPI (1386627412) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.