Unknown Individual – Gerontology Clinical Nurse Specialist, NPI 1922048669

Unknown Individual is a healthcare provider. based in Newfield, New Jersey. specializing in Gerontology Clinical Nurse Specialist. They hold a License No. 26N06417700 (NJ). The NPI Number for Unknown Individual is 1922048669

Main info

Organization
Inactive
34 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1922048669
Phone
(856) 358-2061
Address
MATER DEI NURSING HOME
Deactivation Date
28 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8562057071
Graduation Year
1992 (34 years ago)
PAC ID
5698704815
Group Practice PAC ID
8022271410
Professional Enrollment ID
I20050809000008
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

Provider Addresses for Unknown Individual

  • MATER DEI NURSING HOME

    176 ROUTE 40

    NEWFIELD, NJ 08344

    Phone: (856) 358-2061

    Fax: (856) 358-0403

    Type: Location

  • 11, Vassar Avenue, Fortescue, Downe Township, Cumberland County, New Jersey, 08302, United States

    PO BOX 267

    FORTESCUE, NJ 08321

    Phone: (609) 319-3536

    Fax: (856) 691-1304

    Type: Mailing

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08344)

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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: 8022271410View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerNJ
Internal MedicineNJ
Physician AssistantNJ
Internal MedicineNJ
Nurse PractitionerPA
-NJ
Internal Medicine, Pulmonary DiseaseNJ
Geriatric MedicineNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1922048669.
Is Unknown Individual's inactive status permanent?
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 Gerontology Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Newfield, New Jersey for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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