| Forge Health | |
|
1500 Pleasant Valley Way Ste 305 West Orange NJ 07052-2956 | |
| (973) 535-0627 | |
| Not Available |
| Full Name | Forge Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1500 Pleasant Valley Way Ste 305, West Orange, New Jersey |
| Authorized Official Name and Position | Daniel Lenzo (VP, FINANCE) |
| Authorized Official Contact | 6467096883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forge Health 10 Bank St Ste 830 White Plains NY 10606-1952 Ph: (646) 709-6883 | Forge Health 1500 Pleasant Valley Way Ste 305 West Orange NJ 07052-2956 Ph: (973) 535-0627 |
| NPI Number | 1962175026 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Medicare PECOS PAC ID | 5597163949 |
|---|---|
| Medicare Enrollment ID | O20211015000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962175026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lee Eban Hindin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194804153 PECOS PAC ID: 3072660265 Enrollment ID: I20090403000281 |
| Provider Name | Janet Bamgbade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851811764 PECOS PAC ID: 3971989328 Enrollment ID: I20221007002236 |
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