Jay Forman, PA-C
Jay Forman, PA-C is a Surgical Physician Assistant in Gloucester, VA, registered under NPI 1073826517.
Getting there
The practice address on file is 7544 HOSPITAL DR SUITE 202A, Gloucester, VA 23061. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 0110003739 | VA | Surgical Physician Assistant primary |
This provider holds licence 0110003739 issued in VA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 7719172576
- Enrollment ID
- I20120117000007
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Surgical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AS0400X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1073826517 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 26, 2010 |
| Last updated | Nov 26, 2013 |
| Status | Active |
| Sole proprietor | No |
| Credential | PA-C |
| Practice address |
7544 HOSPITAL DR SUITE 202A Gloucester, VA 23061 (804) 693-0529 Fax (804) 693-1670 |
| Mailing address |
856 J CLYDE MORRIS BLVD SUITE A Newport News, VA 23601 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 7 | 3 | 8 | 2 | 6 | 5 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 5 | 3 | 7 | 2 | 3 | 5 | 2 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.