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

Keith Richard Forlenza, PA-C

Individual provider Physician Assistant · NPI 1003242165

Keith Richard Forlenza, PA-C is a Physician Assistant in Whitestone, New York. Qualified in 2013, 13 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
13
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

154-23 25th Ave
Whitestone, NY 11357
Phone: (917) 974-2089
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 259 1st St, Mineola, NY 11501-3957 — (516) 663-2384

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1003242165
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2013
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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