Unknown Individual – Psychiatry Physician, NPI 1811945595

Unknown Individual is a healthcare provider. based in Union city, New Jersey. specializing in Psychiatry Physician. They hold a License No. MA045843 (NJ). The NPI Number for Unknown Individual is 1811945595

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811945595
Phone
(201) 866-6970
Address
569 35TH ST
Deactivation Date
19 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1978 (48 years ago)
PAC ID
4880606706
Professional Enrollment ID
I20060614000312
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

  • 569, 35th Street, Union City, Hudson County, New Jersey, 07087, United States

    1ST FLOOR

    UNION CITY, NJ 070872563

    Phone: (201) 866-6970

    Fax: (201) 866-7144

    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 07087)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1811945595 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Union City, New Jersey.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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