Unknown Individual – Family Medicine Physician, NPI 1477560670

Unknown Individual is a healthcare provider. based in Raritan, New Jersey. specializing in Family Medicine Physician. They hold a License No. MB65733 (NJ). The NPI Number for Unknown Individual is 1477560670

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1477560670
Phone
(908) 253-6640
Address
901 US HWY 202
Deactivation Date
16 August 2023

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
9082316672
Graduation Year
1996 (30 years ago)
PAC ID
6507800752
Group Practice PAC ID
4880630128
Professional Enrollment ID
I20050617000615
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

  • Highway 25, Roslyn, Liberty Township, Day County, South Dakota, 57261, United States

    RARITAN, NJ 08869

    Phone: (908) 253-6640

    Fax: (908) 253-6908

    Type: Location

  • 316 Main St

    Bedminster, NJ 079212602

    Phone: (908) 781-9800

    Fax: (908) 231-6680

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $164.

Total Amount is formed as General ($164) + Research ($0) + Ownership ($0) = $164.

Last reported payment date: 2023-12-21 • Largest payer in this snapshot: Abbott Laboratories ($151).

Total Amount

$164

General + Research + Ownership

Payments

3

Total payment records

General Amount

$164

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-21

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
99214Established patient office or other outpatient visit, 30-39 minutes12298$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional7453$0
99213Established patient office or other outpatient visit, 20-29 minutes5852$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3333$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3030$0
View full utilization report →

Insurance plans in this area (ZIP 08869)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINENJ81002Urinalysis, manual test165161
FAMILY MEDICINENJ85610Blood test, clotting time14321
FAMILY MEDICINENJ90670Pneumococcal vaccine for injection into muscle115112

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: 4880630128View full group profile
NameSpecialtyState
Internal MedicineNJ
-NJ
Family PracticeNJ
Physician AssistantMA
Family PracticeNJ
Family PracticeNJ
Family PracticeNJ

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1477560670.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Raritan, New Jersey. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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