Provider Profile

Jacqueline Forman

Unclaimed Profile

About Jacqueline Forman

Based in Mineola, NY, Jacqueline Forman is listed in the NPI registry under gastroenterology. Jacqueline graduated from State University of New York Downstate Medical Center in 2013. According to Medicare claims data, Jacqueline cared for 310 Medicare patients across 377 services. The services billed most often include subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes, established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, and initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Specialty

Gastroenterology (Primary)

Credentials & Licensing

NY license287977
NPI1780020560
NPI issued05/20/2013

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Jacqueline Forman?

Jacqueline Forman is a gastroenterologist in Mineola, NY. That is the designation recorded for this NPI in the federal registry, where it is listed as “Gastroenterology”.

NPI registry

What is Jacqueline Forman's address?

Jacqueline Forman is listed at 222 Station Plz N Ste 428, Mineola, NY 11501. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Jacqueline Forman?

The number on file is (516) 663-2066. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Jacqueline Forman's NPI number?

Jacqueline Forman's National Provider Identifier is 1780020560. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jacqueline Forman train?

Jacqueline Forman attended State University of New York Downstate Medical Center, graduating in 2013. This comes from the CMS National Downloadable File.

CMS public data

How long has Jacqueline Forman been practicing?

Jacqueline Forman has 13 years experience. Calculated from a graduation year of 2013, reported in the CMS National Downloadable File.

CMS public data

What procedures does Jacqueline Forman perform?

According to Medicare billing data, Jacqueline Forman performs procedures including biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, biopsy of large bowel using a flexible endoscope and removal of polyps or growths of large bowel using an endoscope with mechanical snare, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Jacqueline Forman confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jacqueline Forman. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.