Unknown Individual – Infectious Disease Physician, NPI 1093735284

Unknown Individual is a healthcare provider. based in East orange, New Jersey. specializing in Infectious Disease Physician. They hold a License No. MA64941 (NJ). The NPI Number for Unknown Individual is 1093735284

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1093735284
Phone
(973) 676-1920
Address
134 EVERGREEN PL STE 812
Deactivation Date
24 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
7012909088
Professional Enrollment ID
I20040331000559
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

  • 134 EVERGREEN PL STE 812

    EAST ORANGE, NJ 070182011

    Phone: (973) 676-1920

    Fax: (973) 676-1915

    Type: Mailing

  • 134, Evergreen Place, East Orange, Essex County, New Jersey, 07018, United States

    STE 812

    EAST ORANGE, NJ 07018

    Phone: (973) 676-1920

    Fax: (973) 676-1915

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $737.

Total Amount is formed as General ($737) + Research ($0) + Ownership ($0) = $737.

Last reported payment date: 2024-01-10 • Largest payer in this snapshot: Gilead Sciences, Inc. ($257).

Total Amount

$737

General + Research + Ownership

Payments

46

Total payment records

General Amount

$737

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,900138$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes280101$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes171131$0
99214Established patient office or other outpatient visit, 30-39 minutes3920$0
36415Insertion of needle into vein for collection of blood sample2618$0
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Insurance plans in this area (ZIP 07018)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1093735284 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Infectious Disease Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes East Orange, New Jersey for Unknown Individual; expand the address list for detail.
What if East Orange, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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