Unknown Individual – Family Medicine Physician, NPI 1730101882

Unknown Individual is a healthcare provider. based in Raritan, New Jersey. specializing in Family Medicine Physician. They hold a License No. MA06463900 (NJ). The NPI Number for Unknown Individual is 1730101882

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1730101882
Phone
(908) 268-5253
Address
34 E SOMERSET ST
Deactivation Date
17 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9086852532
Graduation Year
1993 (33 years ago)
PAC ID
6901044601
Group Practice PAC ID
5597917633
Professional Enrollment ID
I20130607000043
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

  • TD Bank, 34, E. Somerset Street, Raritan, Somerset County, New Jersey, 08869, United States

    RARITAN, NJ 088692109

    Phone: (908) 268-5253

    Fax: (908) 685-2542

    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.

This can happen when there are no reportable CMS Open Payments records.

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 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 test1211
FAMILY MEDICINENJ90670Pneumococcal vaccine for injection into muscle3131

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: 5597917633View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)IL
-NJ
-NJ
Cardiovascular Disease (Cardiology), Internal MedicineNJ
Cardiovascular Disease (Cardiology)NJ
-NJ
-NJ
-NJ
Cardiovascular Disease (Cardiology), Interventional CardiologyNJ
-NJ

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1730101882 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.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Raritan, New Jersey for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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