Unknown Individual – Neuroradiology Physician, NPI 1457334237

Unknown Individual is a healthcare provider. based in East brunswick, New Jersey. specializing in Neuroradiology Physician. They hold a License No. 25MA04997300 (NJ). The NPI Number for Unknown Individual is 1457334237

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1457334237
Phone
(732) 390-0040
Address
579A CRANBURY RD
Deactivation Date
8 March 2023

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
7329881234
Graduation Year
1980 (46 years ago)
PAC ID
6305838210
Group Practice PAC ID
1355408212
Professional Enrollment ID
I20050722000029
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 579, Cranbury Road, Gillilandtown, East Brunswick Township, Middlesex County, New Jersey, 08816, United States

    UNIVERSITY RADIOLOGY GROUP PC

    EAST BRUNSWICK, NJ 088165426

    Phone: (732) 390-0040

    Fax: (732) 390-1856

    Type: Mailing

  • 483, Cranbury Road, Newton Heights, East Brunswick Township, Middlesex County, New Jersey, 08816, United States

    UNIVERSITY RADIOLOGY GROUP PC

    EAST BRUNSWICK, NJ 088163610

    Phone: (732) 390-0030

    Fax: (732) 390-1856

    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.

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 08816)

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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: 1355408212View full group profile
NameSpecialtyState
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
Interventional Radiology, Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
Diagnostic RadiologyDE
Diagnostic RadiologyNJ
Diagnostic Radiology, Interventional RadiologyNJ
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1457334237 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Neuroradiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect East Brunswick, 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.

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