Unknown Individual – Internal Medicine Physician, NPI 1699742932

Unknown Individual is a healthcare provider. based in East brunswick, New Jersey. specializing in Internal Medicine Physician. They hold a License No. 242149-1 (NY). The NPI Number for Unknown Individual is 1699742932

Main info

Organization
Inactive
15 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1699742932
Phone
(732) 613-5005
Address
C1 CORNWALL DR
Deactivation Date
20 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7326135005
Graduation Year
2011 (15 years ago)
PAC ID
2668407321
Group Practice PAC ID
9537256573
Professional Enrollment ID
I20070926000400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Cornwall Drive, East Brunswick Township, Middlesex County, New Jersey, 08816, United States

    EAST BRUNSWICK, NJ 088163362

    Phone: (732) 613-5005

    Fax: (732) 613-5004

    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 15 Open Payments records for all available years, with a total value of $237.

Total Amount is formed as General ($237) + Research ($0) + Ownership ($0) = $237.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Amgen Inc. ($94).

Total Amount

$237

General + Research + Ownership

Payments

15

Total payment records

General Amount

$237

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,461224$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,126217$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes640184$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes558191$0
99214Established patient office or other outpatient visit, 30-39 minutes407109$0
View full utilization report →

Insurance plans in this area (ZIP 08816)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1699742932 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with East Brunswick?
Public fields place Unknown Individual around East Brunswick, New Jersey. Always confirm the exact site before visiting.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.