Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1689635187

Unknown Individual is a healthcare provider. based in Holmdel, New Jersey. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold a License No. 25MA03939500 (NJ). The NPI Number for Unknown Individual is 1689635187

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689635187
Phone
(732) 739-0200
Address
723 N BEERS STREET
Deactivation Date
7 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7327390200
Graduation Year
1979 (47 years ago)
PAC ID
2961428495
Professional Enrollment ID
I20051024000375
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

  • 723, North Beers Street, Morrell Corners, Holmdel Township, Monmouth County, New Jersey, 07733, United States

    SUITE 2G

    HOLMDEL, NJ 07733

    Phone: (732) 739-0200

    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)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 07733)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1689635187 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in New Jersey?
You will see Holmdel, New Jersey on file for Unknown Individual alongside any extra practice locations.
What if Holmdel, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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