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

MS. Jessica S. Forman, PA-C

Individual provider Medical Physician Assistant · NPI 1114067212

MS. Jessica S. Forman, PA-C is a Medical Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

177 Fort Washington Ave 5th Fl - 5 Garden North
New York, NY 10032-3733
Phone: (212) 342-3622
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 006986 (NY)

Record details

NPI number1114067212
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESDecember 8, 2024
Certification dateDecember 8, 2024

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