Unknown Individual – Psychiatry Physician, NPI 1902126816

Unknown Individual is a healthcare provider. based in East brunswick, New Jersey. specializing in Psychiatry Physician. They hold a License No. 245139 (MA). The NPI Number for Unknown Individual is 1902126816

Main info

Organization
Inactive
16 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1902126816
Phone
(774) 314-7797
Address
74 BRUNSWICK WOODS DR
Deactivation Date
25 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9087043790
Graduation Year
2010 (16 years ago)
PAC ID
9830490085
Group Practice PAC ID
0648172809
Professional Enrollment ID
I20151214001220
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 74 BRUNSWICK WOODS DR

    THE RAJAN CENTER FOR FAMILY WELLNESS LLC

    EAST BRUNSWICK, NJ 088165601

    Phone: (774) 314-7797

    Type: Mailing

  • 19 Jay Road

    Chatham, NJ 07928

    Phone: (973) 650-4998

    Type: Location

  • 4 Century Dr Ste 100

    Parsippany, NJ 070544606

    Phone: (732) 982-2888

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 08816)

Loading plans...

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: 0648172809View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1902126816.
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 does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists East Brunswick, New Jersey for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

DR. JOHN PAUL RAGONE (M.D.)

Psychiatry Physician
15, Millman Drive, East Brunswick Township, Middlesex County, New Jersey, 08816, United States
NPI: 1184696791

Unknown Individual

Psychiatry Physician
104 EUCLID AVE
NPI: 1508831835
517, Ryders Lane, Dunhams Corners, East Brunswick Township, Middlesex County, New Jersey, 08816, United States
NPI: 1922074327

MARIAM BEKHIT (MD)

Psychiatry Physician
8111 S Emerson Ave
NPI: 1952330060

DAVID ZYKORIE (M.D.)

Psychiatry Physician
25, Brunswick Woods Drive, Brunswick Woods Medical Complex, East Brunswick Township, Middlesex County, New Jersey, 08816, United States
NPI: 1962508176

KOMAL SHAH (MD)

Psychiatry Physician
109 W 27th St Rm 5S
NPI: 1942388228

DR. BORIS BORODULIN (M.D.)

Psychiatry Physician
180 TICES LN BLDG A
NPI: 1770646358

DR. STANLEY GOTTLIEB (M.D.)

Psychiatry Physician
575, Cranbury Road, Gillilandtown, East Brunswick Township, Middlesex County, New Jersey, 08816, United States
NPI: 1982752200

DR. DAVID B. KASSOFF

Psychiatry Physician
223 STATE ROUTE 18
NPI: 1619091014