Lisa Dianne Forman, M.D.
NPI 1639101777ActiveIndividual· Pediatrics· Elmhurst, NY
Pediatrics (M.D.) in Elmhurst, New York, licensed in NY, with an NPI issued in July 2006. Enrolled in Medicare as order and referring only - pediatric medicine. Medline Industries LP reported $35.62 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1639101777 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 7, 2006 |
| Last updated in NPPES | Oct 27, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 211282 | NY |
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | 211282 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Pediatric Medicine (NY) |
|---|
Industry payments (Open Payments)
- 2024$35.62 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Medline Industries LP | $35.62 | 1 |
What the 2024 payments were for
- Food and Beverage$35.62 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 64 pediatricians in Elmhurst · All pediatricians in New York