Unknown Individual – Cardiovascular Disease Physician, NPI 1386740231

Unknown Individual is a healthcare provider. based in Elizabeth, New Jersey. specializing in Cardiovascular Disease Physician. They hold a License No. MA31663 (NJ). The NPI Number for Unknown Individual is 1386740231

Main info

Organization
Inactive
57 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386740231
Phone
(908) 994-5300
Address
1150 DICKINSON ST
Deactivation Date
16 December 2022

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
9089948448
Graduation Year
1969 (57 years ago)
PAC ID
1658305743
Group Practice PAC ID
6709002850
Professional Enrollment ID
I20050919000552
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

Loading map...

Provider Addresses for Unknown Individual

  • 1150, Dickinson Street, Union Square, Elizabeth, Union County, New Jersey, 07201, United States

    ELIZABETH, NJ 072012210

    Phone: (908) 994-5300

    Fax: (908) 355-9583

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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 07201)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)NJ90670Pneumococcal vaccine for injection into muscle2121
CARDIOVASCULAR DISEASE (CARDIOLOGY)NJ93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report986689
CARDIOVASCULAR DISEASE (CARDIOLOGY)NJ93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart1616

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709002850View full group profile
NameSpecialtyState
DR. JACK F PERRONE
-MN
DR. EDWARD G. WILLIAMS (M.D.)
-NJ
NAMRATA JANI (NP-C)
-NJ
DR. MICHELLE CHOLANKERIL (MD)
-NJ
DR. NITIN NICK PATEL (M.D.)
U R O L O G YNJ
DR. SAPTARSHI BANDYOPADHYAY (M.D.)
-MI
DR. MUNIBA NAQI (M.D.)
-NJ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1386740231 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Elizabeth, New Jersey as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

DR. MATHEW V CHOLANKERIL (MD)

Cardiovascular Disease Physician
100, Grove Street, Elizabeth City, Pasquotank County, North Carolina, 27909, United States
NPI: 1588694780

CARDIOLOGY SERVICES OF ELIZABETH

Cardiovascular Disease Physician
Elizabeth Post Office, South 2nd Avenue, Elizabeth, Allegheny County, Pennsylvania, 15088, United States
NPI: 1235160839

BORO HEALTHCARE OF UNION, P.C.

Urology Physician
Steinway Street, Astoria Energy Combined Cycle Plant, Queens, New York, 11105, United States
NPI: 1316972094

JASJIT WALIA (M.D)

Cardiovascular Disease Physician
520 N Wood Ave
NPI: 1477573814

GARDEN STATE CARDIOVASCULAR SPECIALISTS P.C

Cardiovascular Disease Physician
550 Mount Prospect Ave
NPI: 1225059660

CARDIO PULMONARY DIAGNOSTIC LLC

Cardiovascular Disease Physician
NEWARK INTERNATIONAL AIRPORT OFFICE
NPI: 1023112638

CARDIOLOGY DIVISION

Cardiovascular Disease Physician
240, Williamson Street, Elizabeth, Union County, New Jersey, 07202, United States
NPI: 1356447296

Unknown Individual

Cardiovascular Disease Physician
Trinitas Regional Medical Center Williamson Campus, 225, Williamson Street, Elizabeth, Union County, New Jersey, 07202, United States
NPI: 1750463519

DR. AVINASH C NIGAM (M.D.)

Cardiovascular Disease Physician
319, West Jersey Street, Elmora, Elizabeth, Union County, New Jersey, 07202, United States
NPI: 1598841975