Unknown Individual – Infectious Disease Physician, NPI 1851481857

Unknown Individual is a healthcare provider. based in South orange, New Jersey. specializing in Infectious Disease Physician. They hold a License No. MA69395 (NJ). The NPI Number for Unknown Individual is 1851481857

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1851481857
Phone
(973) 200-3600
Address
511 S ORANGE AVE
Deactivation Date
13 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9735358355
Graduation Year
1986 (40 years ago)
PAC ID
2163414269
Group Practice PAC ID
9638177900
Professional Enrollment ID
I20040331000058
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 511, South Orange Avenue, Orlando, Orange County, Florida, 32801, United States

    SOUTH ORANGE, NJ 070792636

    Phone: (973) 200-3600

    Fax: (973) 821-3651

    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)

CMS reports 32 Open Payments records for all available years, with a total value of $715.

Total Amount is formed as General ($715) + Research ($0) + Ownership ($0) = $715.

Last reported payment date: 2024-03-27 • Largest payer in this snapshot: Gilead Sciences, Inc. ($184).

Total Amount

$715

General + Research + Ownership

Payments

32

Total payment records

General Amount

$715

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes701252$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes385344$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14396$0
99214Established patient office or other outpatient visit, 30-39 minutes6353$0
99213Established patient office or other outpatient visit, 20-29 minutes3735$0
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Insurance plans in this area (ZIP 07079)

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Provider's Procedures

Unknown Individual performs procedures in Infectious Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INFECTIOUS DISEASENJ11042Removal of skin and tissue first 20 sq cm or less3721
INFECTIOUS DISEASENJ97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes8016

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: 9638177900View full group profile
NameSpecialtyState
Physician AssistantNY
Physician AssistantPA
Infectious Disease, Internal MedicineNJ
Physician AssistantNJ
Infectious Disease, Internal MedicineNJ
Physician AssistantNJ
Physician AssistantNJ
Internal MedicinePA
-NJ
Physician AssistantWI

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1851481857.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect South Orange, New Jersey as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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