FORME MEDICAL CENTER, INC. (NPI# 1083755920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083755920 |
| Entity Type | Organization |
| Organization Name | FORME MEDICAL CENTER, INC. |
| Other Organization Name | FORME URGENT CARE AND WELLNESS CENTER |
| Practice Address |
7-11 S Broadway White Plains NY 10601-3531 |
| Mailing Address |
7-11 South Broadway Suite 100 White Plains NY 10601-3055 |
| Practice Telephone | 9147234900 |
| Practice Fax Number | 9144485275 |
| Mailing Telephone | 9147234900 |
| Mailing Fax Number | 9149029011 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | MS. GINA CAPPELLI (PRESIDENT) |
| Authorized Official Telephone | 9147234900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 5947200R | NY | Ambulatory Health Care Facilities |
| N | 284300000X | Special Hospital | 5947200R | NY | Hospitals |
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
5947200R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | HEALTH NET PROVIDER | 5C7019 | 01 |
| NY | CIGNA | 23901 | 01 |
| NY | 02087823 | 05 | |
| NY | OXFORD PROVIDER | A2204263 | 01 |
| NY | HIP HEALTHPLAN PROVIDER | 131056P | 01 |
| Other Name | Type Code |
|---|---|
| Forme Urgent Care and Wellness Center | Doing Business As Name - Organization |
| Street Address |
7-11 S BROADWAY |
| City | WHITE PLAINS |
| State | NY |
| Zip Code | 10601-3531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669479762 | Personal Touch Home Care of Westchester Inc | Home Health | 7-11 S Broadway, Suite #300, White Plains, NY 10601-3531 | 2005-07-05 |
| 1265048722 | Kaitlin Keeley | Physical Therapist | 7-11 S Broadway, White Plains, NY 10601-3531 | 2020-09-21 |
| 1952875841 | Jennifer Rae Gill | Nurse Practitioner | 7-11 S Broadway, White Plains, NY 10601-3531 | 2019-01-14 |
| 1124569785 | Nancy Donworth | Counselor | 7-11 S Broadway, Suite 317, White Plains, NY 10601-3531 | 2017-03-15 |
| 1023496064 | Forme Rehabilitation, Inc. | Clinic/Center | 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 | 2015-05-11 |
| 1154709244 | Forme Rehabilitation, Inc | Clinic/Center | 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 | 2015-05-11 |
| 1366820458 | Forme Rehabilitation, Inc | Clinic/Center | 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 | 2015-05-11 |
| 1447638531 | Forme Rehabilitation, Inc | Clinic/Center | 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 | 2015-05-11 |
| 1790163889 | Forme Rehabilitation, Inc | Clinic/Center | 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 | 2015-05-11 |
| 1295113231 | Forme Rehabilitation, Inc. | Clinic/Center | 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 | 2015-05-11 |
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|---|---|---|---|---|
| 1265089403 | Floras Vision Inc | Eyewear Supplier (Equipment, not the service) | Galleria At White Plains, 100 Main Street, Suite 395, White Plains, NY 10601 | 2019-08-22 |
| 1154988988 | Shemel Jackson | Registered Nurse | Clover Health Services, 75,south Broadway, White Plains, NY 10601 | 2019-05-28 |
| 1720430713 | Gabriel Botero Jr. | Social Worker | White Plains Vet Center, 300 Hamilton Avenue, 1st Floor, Suite C, White Plains, NY 10601 | 2016-07-01 |
| 1538526421 | Edwige Sunshine Lherisson | Registered Nurse | 79 East Post Rd, White Plains, NY 10601 | 2016-01-22 |
| 1174995005 | Dean Dekranis | Social Worker | 33 Barker Avenue 3a, White Plains, NY 10601 | 2015-10-30 |
| 1922482512 | Family Ties of Westchester, Inc. | Community/Behavioral Health | 112 East Post Road, 3rd Floor, White Plains, NY 10601 | 2015-07-14 |
| 1609257955 | Marlissa Fondechene | Chiropractor | 199 Main St Ste 608, White Plains, NY 10601 | 2015-06-12 |
| 1184059933 | Kelly Brooke Graling | Psychologist | 1 N Broadway Ste 704, White Plains, NY 10601 | 2013-09-12 |
| 1750651469 | John A. Coleman School | Local Education Agency (LEA) | 2 Canfield Avenue, Apt #832, White Plains, NY 10601 | 2012-01-11 |
| 1750677118 | Haven Lindsay Caldwell | Internal Medicine | Cancer and Blood Medical Services of Ny, PC, 2-4 Longview Avenue, White Plains, NY 10601 | 2011-06-23 |
| Find all providers in zip 10601 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| 1659933695 | Mega Wellness Inc | Clinic/Center | 481 8th Ave # 608, New York, NY 10001-1809 | 2019-06-29 |
| 1053970038 | Kidz In Motion | Clinic/Center | 25 Brookville Ave, Ossining, NY 10562-4513 | 2019-06-12 |
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| City | WHITE PLAINS |
| Zip Code | 10601 |
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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.