Unknown Individual – Diagnostic Radiology Physician, NPI 1851409528

Diagnostic Radiology Physician

Unknown Individual is a healthcare provider. based in Newark, New Jersey. specializing in Diagnostic Radiology Physician. They hold a License No. 25MA07085900 (NJ). The NPI Number for Unknown Individual is 1851409528

Main info

Organization

Inactive

37 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1851409528

Phone

Not provided

Address

30 BERGEN ST

Deactivation Date

27 February 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9739726900

Graduation Year

1989 (37 years ago)

PAC ID

0244127785

Group Practice PAC ID

9830003417

Professional Enrollment ID

I20040301000706

Contacts

Secure Messaging

cwenokor11940@direct-uhnj.org

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience24

Completeness85

Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

30, Bergen Street, University Heights, Newark, Essex County, New Jersey, 07107, United States
ADMC 12 1205
NEWARK, NJ 071073000
Phone:
Type: Mailing
University Hospital Helipad, 150, Bergen Street, University Heights, Newark, Essex County, New Jersey, 07103, United States
LEVEL C
NEWARK, NJ 071032496
Phone: (973) 972-4907
Fax: (973) 972-2307
Type: Location

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
71045	X-ray of chest, 1 view	349	229	$0
73560	X-ray of knee, 1-2 views	97	66	$0
73552	X-ray of thigh bone, minimum 2 views	93	55	$0
73630	X-ray of foot, minimum of 3 views	89	60	$0
73502	X-ray of hip, 2-3 views	80	60	$0

View full utilization report →

Insurance plans in this area (ZIP 07107)

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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: 9830003417View full group profile

Name	Specialty	State
LISSETTE MARIA CESPEDES (M.D.)	-	NJ
DR. RONALD RESCIGNO (M.D.)	-	NJ
ANURADHA R KONKESA (MD)	Nephrology, Internal Medicine	NJ
DR. PIOTR KISZA (M.D.)	Interventional Radiology, Diagnostic Radiology	NJ
DR. MICHAEL E SHAPIRO (MD)	General Surgery	NJ
DR. MICHAEL A. CURI (MD)	Vascular Surgery, General Surgery	NJ
PRATIBHA SHUKLA (M.D.)	P A T H O L O G Y	NY
DR. DANIEL MICHAEL MATASSA (M.D.)	Internal Medicine	NJ
JAYOUNG PAK (M.D.)	-	NJ
DR. EVELYNE KALYOUSSEF (MD)	O T O L A R Y N G O L O G Y	NJ

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?

NPI 1851409528 is assigned to Unknown Individual under the national enumeration system.

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 Diagnostic Radiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.

Where does public data place Unknown Individual?

The snapshot lists Newark, New Jersey for Unknown Individual; download NPPES for the complete set.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.