Unknown Individual – Podiatrist, NPI 1255329751

Unknown Individual is a healthcare provider. based in Toms river, New Jersey. specializing in Podiatrist. They hold a License No. DO1478 (NJ). The NPI Number for Unknown Individual is 1255329751

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1255329751
Phone
(732) 349-1123
Address
104 COMMONS WAY
Deactivation Date
21 June 2021

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
7323491123
Graduation Year
1983 (43 years ago)
PAC ID
8224157458
Professional Enrollment ID
I20111028000013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 104, Commons Way, Deer Chase Manor, Toms River, Ocean County, New Jersey, 08755, United States

    TOMS RIVER, NJ 087556426

    Phone: (732) 349-1123

    Fax: (732) 349-6549

    Type: Mailing

  • Commons Way, Deer Chase Manor, Toms River, Ocean County, New Jersey, 08722, United States

    TOMS RIVER, NJ 087556426

    Phone: (732) 349-1123

    Fax: (732) 349-6549

    Type: Location

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.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08755)

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Provider's Procedures

Unknown Individual performs procedures in Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYNJ11042Removal of skin and tissue first 20 sq cm or less29975

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1255329751.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Podiatrist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Toms River, New Jersey?
If you are local to Toms River, New Jersey, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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