Unknown Individual – Family Medicine Physician, NPI 1265469480

Unknown Individual is a healthcare provider. based in Pennington, New Jersey. specializing in Family Medicine Physician. They hold a License No. 25MA03003900 (NJ). The NPI Number for Unknown Individual is 1265469480

Main info

Organization
Inactive
57 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1265469480
Phone
(609) 737-2714
Address
132 ROUTE 31 N
Deactivation Date
2 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6097372714
Graduation Year
1969 (57 years ago)
PAC ID
6800082827
Professional Enrollment ID
I20101201001305
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

Provider Addresses for Unknown Individual

  • 132 ROUTE 31 N

    PENNINGTON, NJ 085343607

    Phone: (609) 737-2714

    Fax: (609) 737-1081

    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 1 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Becton, Dickinson and Company ($45).

Total Amount

$45

General + Research + Ownership

Payments

1

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-12

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
99214Established patient office or other outpatient visit, 30-39 minutes374106$0
99213Established patient office or other outpatient visit, 20-29 minutes223109$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4040$0
90686Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage1515$0
G0008Administration of influenza virus vaccine1414$0
View full utilization report →

Insurance plans in this area (ZIP 08534)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1265469480.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Pennington, New Jersey.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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