MR. ROAN EMANUEL FORGIE (NPI# 1578744314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578744314 |
| Entity Type | Individual |
| Full Name | MR. ROAN EMANUEL FORGIE |
| Practice Address |
310 E Shore Rd Ste 100 Great Neck NY 11023-2432 |
| Mailing Address |
669 E 237th St Bronx NY 10466-1409 |
| Practice Telephone | 6465914970 |
| Mailing Telephone | 6465914970 |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 273030 | NY | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F403033 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02907775 | 05 |
| Street Address |
310 E SHORE RD STE 100 |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11023-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477166585 | Nurse Practitioner Psychiatry & Psychology Services, Pllc | Psychologist | 310 E Shore Rd Ste 100, Great Neck, NY 11023-2432 | 2020-08-28 |
| 1104288307 | Ashley A. Lyden | Psychologist | 310 E Shore Rd Ste 100, Great Neck, NY 11023-2432 | 2016-03-26 |
| 1467849455 | Tarryn Moor | Psychologist | 310 E Shore Rd Ste 100, Great Neck, NY 11023-2432 | 2015-04-17 |
| 1083028039 | Christine Roufail | Psychologist | 310 E Shore Rd Ste 100, Great Neck, NY 11023-2432 | 2014-06-18 |
| 1588913560 | Michelle Dean | Counselor | 310 E Shore Rd Ste 100, Great Neck, NY 11023-2432 | 2012-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355581 | Jennifer Cain | Psychologist | 310 East Shore Rd. Suite 100, Great Neck, NY 11023 | 2019-03-13 |
| 1609346774 | Othniel Physical Therapy PC | Physical Therapist | 444 Middleneck Rd, Suite 1h, Greatneck, NY 11023 | 2018-11-30 |
| 1720403215 | Jason Li | Pharmacist | 125 Maple Street, Great Neck, NY 11023 | 2014-02-20 |
| 1356772156 | Eliian Ramezani | Physical Therapist | 444 Middle Neck Rd Apt 1h, Great Neck, NY 11023 | 2013-12-03 |
| 1710222625 | Jason Sonbolian | Registered Nurse | 22 Chadwick Road, Great Neck, NY 11023 | 2012-12-04 |
| 1659672020 | Marni Rebecca Weinberg | Speech-Language Pathologist | 15 Hutchinson Court, Great Neck, NY 11023 | 2010-11-16 |
| 1568780179 | Dara Bruckner | Physician Assistant | 17 Brokaw Lane, Great Neck, NY 11023 | 2010-05-06 |
| 1205070778 | Rachel Lee Klerer-axelrod | Physical Therapist | 76 Berkshire Road, Great Neck, NY 11023 | 2009-04-28 |
| 1336306455 | Lorrell Heather Zegarelli | Specialist/Technologist | 90 East Shore Road Inside Equinox, Professional Orthopedic and Sports Physical Therapy, Great Neck, NY 11023 | 2008-05-16 |
| 1841471158 | Heikyung Uh | Pharmacist | 152-154 Middle Neck Road, Great Neck, NY 11023 | 2007-11-15 |
| Find all providers in zip 11023 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | GREAT NECK |
| Zip Code | 11023 |
Please comment or provide details below to improve the information on MR. ROAN EMANUEL FORGIE.
| 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.