| Forme Urgent Care And Wellness Center | |
|
7-11 S Broadway White Plains NY 10601-3531 | |
| (914) 723-4900 | |
| (914) 448-5275 |
| Full Name | Forme Urgent Care And Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 7-11 S Broadway, White Plains, New York |
| Authorized Official Name and Position | Gina Cappelli (PRESIDENT) |
| Authorized Official Contact | 9147234900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forme Urgent Care And Wellness Center 7-11 South Broadway Suite 100 White Plains NY 10601-3055 Ph: (914) 723-4900 | Forme Urgent Care And Wellness Center 7-11 S Broadway White Plains NY 10601-3531 Ph: (914) 723-4900 |
| NPI Number | 1083755920 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 01/20/2020 |
| Medicare PECOS PAC ID | 5294899753 |
|---|---|
| Medicare Enrollment ID | O20160629002478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083755920 | NPI | - | NPPES |
| 02087823 | Medicaid | NY | |
| 131056P | Other | NY | HIP HEALTHPLAN PROVIDER |
| A2204263 | Other | NY | OXFORD PROVIDER |
| 5C7019 | Other | NY | HEALTH NET PROVIDER |
| 23901 | Other | NY | CIGNA |
| Provider Name | David P Rosenzweig |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083676654 PECOS PAC ID: 9830155142 Enrollment ID: I20041208000853 |
| Provider Name | Gary Todd Midelton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891882262 PECOS PAC ID: 3971551227 Enrollment ID: I20050104000592 |
| Provider Name | Nilay Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154372621 PECOS PAC ID: 5890704811 Enrollment ID: I20060419000169 |
| Provider Name | Claudia A Useda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356495550 PECOS PAC ID: 6002996030 Enrollment ID: I20080103000497 |
| Provider Name | Norberto I Torres-otero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174508139 PECOS PAC ID: 0840222725 Enrollment ID: I20110405000014 |
| Provider Name | Raquel I Castillo-rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902120280 PECOS PAC ID: 4284810706 Enrollment ID: I20110518000552 |
| Provider Name | Noreen H Linn |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1043230600 PECOS PAC ID: 0749456366 Enrollment ID: I20120104000070 |
| Provider Name | Tina A Cocuzza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235395401 PECOS PAC ID: 0042363582 Enrollment ID: I20120215000114 |
| Provider Name | Maday C Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841599388 PECOS PAC ID: 7810115557 Enrollment ID: I20140821002306 |
| Provider Name | Nosata A Asuzu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558754739 PECOS PAC ID: 4385939727 Enrollment ID: I20160824000299 |
| Provider Name | Michael David Levy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285945238 PECOS PAC ID: 3870716855 Enrollment ID: I20180209001055 |
Pushpinder Singh Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Drisler Ave, White Plains, NY 10607 Phone: 914-963-6746 | |
Park Avenue Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Barker Ave, 4th Floor, White Plains, NY 10601 Phone: 914-949-1199 Fax: 914-949-1245 | |
The New York And Presbyterian Hosp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Bloomingdale Rd, Mailbox 159, White Plains, NY 10605 Phone: 914-682-9100 | |
Jma Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Bryant Ave, #tee, White Plains, NY 10605 Phone: 914-428-0303 | |
Welcome Health Family Np, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 470 Mamaroneck Ave, Suite 206, White Plains, NY 10605 Phone: 914-437-8888 Fax: 914-437-8887 | |
Westchester Cardiac Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 North Street, Suite 407, White Plains, NY 10605 Phone: 914-287-7617 Fax: 914-287-7618 |