Unknown Individual – Emergency Medicine Physician, NPI 1114926458
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5 RED MAPLE LN
FLANDERS, NJ 078369192
Phone: (646) 373-8744
Type: Mailing
Mountainside Hospital, 1, Bay Avenue, Glen Ridge, Essex County, New Jersey, 07042, United States
MONTCLAIR, NJ 070424837
Phone: (973) 429-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $151.
Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.
Last reported payment date: 2023-09-09 • Largest payer in this snapshot: Integra LifeSciences Corporation ($151).
Total Amount
$151
General + Research + Ownership
Payments
1
Total payment records
General Amount
$151
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $151 |
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 07836)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | NJ | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 24 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Emergency Medicine | NJ | |
| - | NJ |
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