Unknown Individual – Physician Assistant, NPI 1154324523
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Pleasant Valley Way, West Orange, Essex County, New Jersey, 07052, United States
SUITE 101
WEST ORANGE, NJ 070522956
Phone: (973) 669-0148
Fax: (973) 669-0269
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)
CMS reports 2 Open Payments records for all available years, with a total value of $76.
Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.
Last reported payment date: 2024-05-20 • Largest payer in this snapshot: Genentech USA, Inc. ($46).
Total Amount
$76
General + Research + Ownership
Payments
2
Total payment records
General Amount
$76
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $46 |
| SI-BONE, INC. | $30 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,008 | 70 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 239 | 200 | $0 |
| 73562 | X-ray of knee, 3 views | 150 | 138 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 114 | 86 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 93 | 89 | $0 |
Insurance plans in this area (ZIP 07052)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | NJ | |
| Radiation Oncology | NY | |
| - | NJ | |
| - | NJ | |
| Physical Therapist In Private Practice | NJ | |
| - | NJ | |
| - | NJ | |
| G A S T R O E N T E R O L O G Y | NJ | |
| - | NJ | |
| - | NJ |
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