Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jake Ryan Forman, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871395905

Jake Ryan Forman, DO is a Student in an Organized Health Care Education/Training Program in New Hyde Park, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

26901 76th Ave
New Hyde Park, NY 11040-1433
Phone: (718) 470-8284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1871395905
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

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