DELMAR FAMILY MEDICINE
NPI 1336356039
Family Medicine in Delmar, NY
NPI Status: Active since May 16, 2007
Contact Information
785 DELAWARE AVE
DELMAR, NY
ZIP 12054
Phone: (518) 320-7517
Fax: (518) 439-0214
- Organization
- Family Medicine
- CLIA Number: 33D1068929
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-22-2027
About DELMAR FAMILY MEDICINE
This page provides the complete NPI Profile along with additional information for Delmar Family Medicine, a primary care provider established in Delmar, New York operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1336356039 assigned on May 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 228846-1 (NY). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Delmar Family Medicine. The authorized official of this NPI record is Dr. Peter H Forman Md (Owner)
- NPI
- 1336356039
- Provider Legal Name
- FOREFRONT MEDICAL SERVICES, PLLC
- Other Organization Name
- DELMAR FAMILY MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 785 DELAWARE AVE DELMAR, NY 12054
- Location Phone
- (518) 320-7517
- Location Fax
- (518) 439-0214
- Mailing Address
- 785 DELAWARE AVE DELMAR, NY 12054
- Mailing Phone
- (518) 320-7517
- Mailing Fax
- (518) 439-0214
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-16-2007
- Last Update Date
- 02-26-2008
- Code Navigator
A primary care provider (PCP) like Delmar Family Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 228846-1
- License State
- NY
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| H86570 | MEDICARE UPIN (02) | NY | |
| BA1149 | MEDICARE PIN (08) | NY | |
| 02423509 | MEDICAID (05) | NY |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D1068929
- Facility Type
- Physician Office
- Certificate Effective Date
- May 23, 2025
- Certificate Expiration Date
- May 22, 2027
- Laboratory Director
- PETER H. FORMAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Delmar Family Medicine in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 3 | 5 | 6 | 0 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 6 | 5 | 12 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 6 + 5 + 1 + 2 + 0 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1336356039 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831146075 | DR. ERICA MARIE SUFRIN PH.D. Individual | Psychologist (Clinical) | 785 DELAWARE AVE DELMAR, NY 12054 (518) 439-6997 |
| 1710904974 | BETHLEHEM PEDIATRICS Organization | Pediatrics | 785 DELAWARE AVE DELMAR, NY 12054 (518) 439-7490 |
| 1316054406 | JEFFREY ALAN MARFURT DDS Individual | Dentist | 785 DELAWARE AVE DELMAR, NY 12054 (518) 439-4114 |
| 1417056136 | DR. BARBARA DAVIDSON HEISLER PH.D. Individual | Psychologist (Adult Development & Aging) | 785 DELAWARE AVE DELMAR, NY 12054 (518) 439-5376 |
| 1194918953 | SUSAN GARDINER, PSYCHIATRIST,, P.C. Organization | Psychiatry & Neurology (Psychiatry) | 785 DELAWARE AVE DELMAR, NY 12054 (518) 439-1693 |
| 1669783270 | MR. MATTHEW STONE LMT Individual | Health Educator | 785 DELAWARE AVE DELMAR, NY 12054 (518) 689-2285 |
| 1730453929 | ALLERGY & IMMUNOLOGY Organization | Allergy & Immunology | 785 DELAWARE AVE DELMAR, NY 12054 (518) 439-7490 |
| 1518496678 | MICHAEL DYGERT LMHC Individual | Counselor (Mental Health) | 785 DELAWARE AVE DELMAR, NY 12054 (518) 486-8591 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336356039, enumerated in the NPI registry as an "organization" on May 16, 2007
The provider is located at 785 Delaware Ave Delmar, Ny 12054 and the phone number is (518) 320-7517
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 33D1068929 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on May 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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