Unknown Individual – Pulmonary Disease Physician, NPI 1053381244

Unknown Individual is a healthcare provider. based in Stratford, New Jersey. specializing in Pulmonary Disease Physician. They hold a License No. 25MB02577300 (NJ). The NPI Number for Unknown Individual is 1053381244

Main info

Organization
Inactive
58 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1053381244
Phone
(856) 566-7070
Address
42 E LAUREL RD
Deactivation Date
27 September 2023

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6095666859
Graduation Year
1968 (58 years ago)
PAC ID
7113060724
Group Practice PAC ID
3476509787
Professional Enrollment ID
I20100204000552
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 42, Laurel Road, Stratford, Camden County, New Jersey, 08084, United States

    SUITE 3100

    STRATFORD, NJ 080841354

    Phone: (856) 566-7070

    Fax: (856) 566-6952

    Mailing address matches the actual address.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes390288$0
94727Test to determine lung volumes using gas dilution or washout8381$0
94729Test to examine how well the lungs exchange gases8381$0
94010Test to measure expiratory airflow and volume8078$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
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Insurance plans in this area (ZIP 08084)

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Provider's Procedures

Unknown Individual performs procedures in Pulmonary Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASENJ94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration5351
PULMONARY DISEASENJ94727Determination of lung volumes using gas dilution or washout7067

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: 3476509787View full group profile

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1053381244 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Pulmonary Disease Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in New Jersey?
You will see Stratford, New Jersey on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1053381244. Always confirm identity and privileges with the practice and licensing boards.

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