Unknown Individual – Pulmonary Disease Physician, NPI 1801876305

Unknown Individual is a healthcare provider. based in Stratford, New Jersey. specializing in Pulmonary Disease Physician. They hold a License No. MB038200 (NJ). The NPI Number for Unknown Individual is 1801876305

Main info

Organization
Inactive
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1801876305
Phone
(856) 566-7070
Address
42 E LAUREL RD
Deactivation Date
27 September 2023

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8562180300
Graduation Year
null (2026 years ago)
PAC ID
1052456068
Group Practice PAC ID
3476509787
Professional Enrollment ID
I20100302000594
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 42, Laurel Road, Stratford, Camden County, New Jersey, 08084, United States

    UDP 3100

    STRATFORD, NJ 080841354

    Phone: (856) 566-7070

    Fax: (856) 566-6952

    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.

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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 08084)

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Provider's Procedures

Unknown Individual performs procedures in Pulmonary Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASENJ94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration189184
PULMONARY DISEASENJ94727Determination of lung volumes using gas dilution or washout299293

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: 3476509787View full group profile

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1801876305 when you need to reference Unknown Individual in forms, claims, or directories.
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 Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Stratford, New Jersey for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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