Unknown Individual – Anesthesiology Physician, NPI 1023039773

Anesthesiology Physician

Unknown Individual is a healthcare provider. based in Trenton, New Jersey. specializing in Anesthesiology Physician. They hold a License No. 25MA08043500 (NJ). The NPI Number for Unknown Individual is 1023039773

Main info

Organization

Inactive

33 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1023039773

Phone

(609) 581-5303

Address

PO BOX 10439

Deactivation Date

15 March 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7324312000

Graduation Year

1993 (33 years ago)

PAC ID

3173522000

Group Practice PAC ID

2668385253

Professional Enrollment ID

I20061204000241

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

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Provider Addresses for Unknown Individual

PO BOX 10439
TRENTON, NJ 086504039
Phone: (609) 581-5303
Fax: (609) 631-6839
Type: Mailing
33, Hamilton Avenue, Spangdahlem, Speicher, Eifelkreis Bitburg-Prüm, Rhineland-Palatinate, 54529, Germany
SUITE B
HAMILTON SQUARE, NJ 086901740
Phone: (609) 581-5303
Fax: (609) 631-6839
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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 08650)

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Provider's Procedures

Unknown Individual performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
ANESTHESIOLOGY	NJ	00142	Anesthesia for lens surgery	116	111

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: 2668385253View full group profile

Name	Specialty	State
AARTI SANJEEV VADHAVKAR (M.D.)	A N E S T H E S I O L O G Y	NJ
MR. PHILIP OFOSU ECK (M.D.)	-	NJ
DEIRDRE A DAVIS (C.R.N.A.)	-	NJ
PATRICIA LAURICELLA (CRNA)	-	NJ
CHU KUANG CHEN (MD)	-	NJ
MARK A TRAGER (MD)	-	NJ
AMUL S PATEL (D.O.)	A N E S T H E S I O L O G Y	NJ
CHRISTINE VELARDE (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MD
STELLA WALLEN (CRNA)	Certified Registered Nurse Anesthetist (Crna)	NJ
FREDERICK THOMAS ALLEN (MD)	-	PA

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?

Public records show Unknown Individual under NPI 1023039773.

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 Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.

What geographic area is tied to Unknown Individual?

Unknown Individual is associated with Trenton, New Jersey in the same public data insurers reference.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.

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