Individual provider · Type 1 NPI

Isaiah Forester-Koomson

Student in an Organized Health Care Education/Training Program · Wayne, NJ

NPI number 1184572505 Active

Practice location

300 Pompton Rd
Wayne, NJ 07470-2103

Call (973) 720-2000 Map

Mailing address

12 Audubon Ave Apt 404
Jersey City, NJ 07305-2227

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184572505

Isaiah Forester-Koomson's National Provider Identifier is 1184572505, issued on Mar 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wayne, NJ. The record was last updated on Mar 20, 2026.