Unknown Individual – Internal Medicine Physician, NPI 1457573586
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Holy Name Medical Center, 718, Teaneck Road, Teaneck Township, Bergen County, New Jersey, 07666, United States
HEALTH PARTNER SERVICES
TEANECK, NJ 076660000
Phone: (201) 833-7265
Fax: (201) 227-6207
Type: Mailing
408, 37th Street, Union City, Hudson County, New Jersey, 07087, United States
EXCELCARE MEDICAL ASSOCIATES, PA
UNION CITY, NJ 070870000
Phone: (201) 864-4477
Fax: (201) 864-9727
Type: Location
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 $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-05-31 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $15 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 16 | $0 |
Insurance plans in this area (ZIP 07666)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| - | NJ | |
| - | NJ |
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