Unknown Individual – Neurology Physician, NPI 1598716623

Unknown Individual is a healthcare provider. based in Maple shade, New Jersey. specializing in Neurology Physician. They hold a License No. MA021046 (NJ). The NPI Number for Unknown Individual is 1598716623

Main info

Organization
Inactive
65 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1598716623
Phone
(856) 866-0466
Address
504 ROUTE 38 EAST
Deactivation Date
18 January 2023

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
8568660466
Graduation Year
1961 (65 years ago)
PAC ID
4789679499
Group Practice PAC ID
7719969542
Professional Enrollment ID
I20110131000609
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

Provider Addresses for Unknown Individual

  • 504 ROUTE 38 EAST

    MAPLE SHADE, NJ 08052

    Phone: (856) 866-0466

    Fax: (856) 727-1483

    Mailing address matches the actual address.

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 $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-02-26 • Largest payer in this snapshot: Abbott Laboratories ($44).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$44
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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08052)

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Provider's Procedures

Unknown Individual performs procedures in Neurology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROLOGYNJ95819Measurement and recording of brain wave (EEG) activity, awake and asleep325324

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: 7719969542View full group profile
NameSpecialtyState
N E U R O L O G YNJ
Physical Medicine And RehabilitationNJ

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1598716623.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Neurology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Maple Shade?
Public fields place Unknown Individual around Maple Shade, New Jersey. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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