Unknown Individual – Surgery Physician, NPI 1740331495

Unknown Individual is a healthcare provider. based in Ridgewood, New Jersey. specializing in Surgery Physician. They hold a License No. MA37427 (NJ). The NPI Number for Unknown Individual is 1740331495

Main info

Organization
Inactive
51 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1740331495
Phone
(201) 447-2777
Address
140 CHESTNUT ST
Deactivation Date
26 July 2023

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
2014478000
Graduation Year
1975 (51 years ago)
PAC ID
7911928098
Professional Enrollment ID
I20051216000316
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

  • 140, Chestnut Street, Downtown Ridgewood, Ridgewood, Bergen County, New Jersey, 07450, United States

    SUITE 301

    RIDGEWOOD, NJ 074502599

    Phone: (201) 447-2777

    Fax: (201) 445-3835

    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 07450)

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Provider's Procedures

Unknown Individual performs procedures in Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYNJ93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3225

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1740331495.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Surgery Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Ridgewood, New Jersey because that is what the record indicates for Unknown Individual.
What if Ridgewood, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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