Unknown Individual – Internal Medicine Physician, NPI 1467450262

Unknown Individual is a healthcare provider. based in Jersey city, New Jersey. specializing in Internal Medicine Physician. They hold a License No. 25MA05483800 (NJ). The NPI Number for Unknown Individual is 1467450262

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1467450262
Phone
(201) 433-1317
Address
145 GARRISON AVE
Deactivation Date
11 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
5092767921
Professional Enrollment ID
I20050218000232
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

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Provider Addresses for Unknown Individual

  • 145, Garrison Avenue, Indian Square, Bergen, Jersey City, Hudson County, New Jersey, 07306, United States

    JERSEY CITY, NJ 073065403

    Phone: (201) 433-1317

    Type: Mailing

  • 2742, John F. Kennedy Boulevard, Indian Square, Bergen, Jersey City, Hudson County, New Jersey, 07306, United States

    JERSEY CITY, NJ 073065508

    Phone: (201) 433-1317

    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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-02-07 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-07

Latest reported date

Top Companies

Largest payers in this snapshot

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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 07306)

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Reviews

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

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1467450262 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Jersey City, New Jersey for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1467450262. Always confirm identity and privileges with the practice and licensing boards.

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