Doctor profile · Federal record
Dr. Lisa Forman, M.D.
Pediatrics Physician · Pediatric Emergency Medicine (Pediatrics) Physician · Elmhurst, NY
- NPI 1639101777
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
7901 Broadway, Elmhurst Hospital, Room H-116
Elmhurst, NY 113731329
(718) 334-3044
fax (718) 334-5759 - Mailing address
-
79-01 Broadway, H-116
Elmhurst, NY 113731329
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- October 27, 2007
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- New York #211282
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639101777. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$36
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medline Industries Lp | 1 | $35.62 |
By nature of payment
Frequently asked questions
What is Dr. Lisa Forman's medical specialty?
Dr. Lisa Forman practices Pediatrics Physician in Elmhurst, NY.
Where does Dr. Lisa Forman practice?
Dr. Lisa Forman practices at 7901 Broadway, Elmhurst, NY 113731329. Office phone: 7183343044.
What is Dr. Lisa Forman's NPI?
Dr. Lisa Forman's National Provider Identifier (NPI) is 1639101777, issued by NPPES.