Unknown Individual – Internal Medicine Physician, NPI 1114901436
Internal Medicine Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
King Neptune Campground, 8540, Peggys Cove Road, Indian Harbour, Halifax Regional Municipality, Halifax County, Nova Scotia, B3Z 3P4, Canada
SUITE A-IM
NEPTUNE, NJ 077536104
Phone: (732) 897-3990
Fax: (733) 289-7399
Type: Mailing
1 LETHBRIDGE PLZ STE 20
MAHWAH, NJ 074302114
Phone: (609) 474-0120
Fax: (609) 474-0121
Type: Mailing
137 HIGH ST FL 2A
MOUNT HOLLY, NJ 080601476
Phone: (609) 474-0120
Fax: (609) 474-0121
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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.
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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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 303 | 211 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 77 | 59 | $0 |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 32 | 32 | $0 |
| 99497 | Advance care planning, first 30 minutes | 21 | 21 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 19 | 19 | $0 |
Insurance plans in this area (ZIP 07753)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NY | |
| Internal Medicine | NJ | |
| Nurse Practitioner | NJ | |
| Internal Medicine | NJ | |
| Family Practice | VT | |
| Internal Medicine | MD | |
| Internal Medicine | NJ | |
| Internal Medicine | NJ | |
| Internal Medicine | NJ | |
| - | NJ |
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