Provider Demographics
NPI:1023057346
Name:FOREST HEALTHCARE ASSOCIATES, P.C.
Entity type:Organization
Organization Name:FOREST HEALTHCARE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOREY
Authorized Official - Middle Name:J
Authorized Official - Last Name:MENACKER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:201-986-1881
Mailing Address - Street 1:277 FOREST AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-5410
Mailing Address - Country:US
Mailing Address - Phone:201-986-1881
Mailing Address - Fax:201-986-1871
Practice Address - Street 1:277 FOREST AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-5410
Practice Address - Country:US
Practice Address - Phone:201-986-1881
Practice Address - Fax:201-986-1871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5181650001Medicare NSC
NJ002940Medicare ID - Type Unspecified