Unknown Individual – Obstetrics & Gynecology Physician, NPI 1376537530

Unknown Individual is a healthcare provider. based in Branford, Connecticut. specializing in Obstetrics & Gynecology Physician. They hold a License No. 032006 (CT). The NPI Number for Unknown Individual is 1376537530

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1376537530
Phone
(203) 488-8306
Address
687 MAIN ST
Deactivation Date
26 March 2026

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
2032842800
Graduation Year
1984 (42 years ago)
PAC ID
2668519406
Group Practice PAC ID
1153224191
Professional Enrollment ID
I20091027000473
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 687, Main Street, Branford Center, Branford, New Haven County, Connecticut, 06405, United States

    BRANFORD, CT 064053612

    Phone: (203) 488-8306

    Type: Location

  • 1, Bayberry Road, Whitneyville, Hamden, New Haven County, Connecticut, 06517, United States

    HAMDEN, CT 065173401

    Phone: (203) 562-5303

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06405)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Obstetrics & Gynecology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYCT81002Urinalysis, manual test4140

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153224191View full group profile
NameSpecialtyState
Nurse PractitionerCT
Nuclear Medicine, Cardiovascular Disease (Cardiology), Internal MedicineCT
Physical Medicine And RehabilitationCT
-CT
Physical Medicine And RehabilitationNY
Clinical PsychologistMA
Internal MedicineCT
Gastroenterology, Internal MedicineCT
Internal Medicine, HospitalistCT
Interventional Pain ManagementCT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1376537530.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Obstetrics & Gynecology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Branford, Connecticut. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

NORMAN AARON RAVSKI (M.D.)

Obstetrics & Gynecology Physician
28, Robin Road, Woodbridge, New Haven County, Connecticut, 06525, United States
NPI: 1346234580

MICHAEL RICHARD BERMAN (M.D.)

Obstetrics & Gynecology Physician
11, Prospect Court, Woodbridge, New Haven County, Connecticut, 06525, United States
NPI: 1922092188

SCOTT EVAN CASPER (M.D.)

Obstetrics & Gynecology Physician
18, Pawson Road, Indian Neck, Branford, South Central Connecticut Planning Region, Connecticut, 06405, United States
NPI: 1326032574

LJILJANA PLISIC (M.D.)

Obstetrics & Gynecology Physician
64-1 ROUTE 80
NPI: 1124012372

DAVID LIMA (M.D.)

Obstetrics & Gynecology Physician
41, Bayberry Lane, Branford, New Haven County, Connecticut, 06405, United States
NPI: 1104810357

ADINA CHELOUCHE (M.D.)

Obstetrics & Gynecology Physician
28 FAIRGROUND RD
NPI: 1285628438

COUNTY OBSTETRICS AND GYNECOLOGY GROUP

Obstetrics & Gynecology Physician
687, Main Street, Branford Center, Branford, New Haven County, Connecticut, 06405, United States
NPI: 1265426332

CRISTINA GIOIOSO-DATTA (MD)

Obstetrics & Gynecology Physician
91-103, North Main Street, Branford, South Central Connecticut Planning Region, Connecticut, 06405, United States
NPI: 1164654828

DR. GENEVIEVE MONTAGU VON WALSTROM (MD, MPH)

Public Health & General Preventive Medicine Physician
2310 BIGELOW CMNS
NPI: 1962797696