Unknown Individual – Cardiovascular Disease Physician, NPI 1396745949

Unknown Individual is a healthcare provider. based in West orange, New Jersey. specializing in Cardiovascular Disease Physician. They hold a License No. MA46501 (NJ). The NPI Number for Unknown Individual is 1396745949

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1396745949
Phone
(973) 731-9442
Address
375 MOUNT PLEASANT AVE
Deactivation Date
5 December 2024

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
-
Graduation Year
1976 (50 years ago)
PAC ID
4082662820
Professional Enrollment ID
I20050107000467
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 375, Mount Pleasant Avenue, West Orange, Essex County, New Jersey, 07052, United States

    WEST ORANGE, NJ 070522724

    Phone: (973) 731-9442

    Fax: (973) 731-2918

    Type: Mailing

  • 653, Willow Grove Street, Hackettstown, Warren County, New Jersey, 07840, United States

    SUITE 1000

    HACKETTSTOWN, NJ 078401732

    Phone: (908) 852-9020

    Fax: (908) 852-5056

    Type: Location

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 $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-01-09 • Largest payer in this snapshot: Amgen Inc. ($14).

Total Amount

$28

General + Research + Ownership

Payments

2

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-09

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes13962$0
99214Established patient office or other outpatient visit, 30-39 minutes9286$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3329$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes1717$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1414$0
View full utilization report →

Insurance plans in this area (ZIP 07052)

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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)NJ93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report2120

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1396745949 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in West Orange, New Jersey?
For routing, start with West Orange, New Jersey for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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