Provider Demographics
NPI:1316044910
Name:FOREST HILLS ORTHOPEDIC GROUP P.C
Entity Type:Organization
Organization Name:FOREST HILLS ORTHOPEDIC GROUP P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DONADT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-268-4938
Mailing Address - Street 1:69-67 108TH STREET
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3846
Mailing Address - Country:US
Mailing Address - Phone:718-268-4938
Mailing Address - Fax:718-268-2963
Practice Address - Street 1:6967 108TH STREET
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-268-4938
Practice Address - Fax:718-268-2963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-19
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01168538Medicaid
NY01168538Medicaid