Unknown Individual – Psychiatry Physician, NPI 1932133519

Unknown Individual is a healthcare provider. based in Haddonfield, New Jersey. specializing in Psychiatry Physician. They hold a License No. 25MA02467900 (NJ). The NPI Number for Unknown Individual is 1932133519

Main info

Organization
Inactive
65 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1932133519
Phone
(856) 795-9991
Address
228 KINGS HWY E
Deactivation Date
1 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8569833900
Graduation Year
1961 (65 years ago)
PAC ID
8123021888
Group Practice PAC ID
2860396454
Professional Enrollment ID
I20060818000081
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

  • Imprinsic Marketing Group, 228, East Kings Highway, Vernon, Haddonfield, Camden County, New Jersey, 08033, United States

    FIRST FLOOR

    HADDONFIELD, NJ 080331913

    Phone: (856) 795-9991

    Fax: (609) 953-1230

    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.

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 08033)

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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: 2860396454View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
P S Y C H I A T R YDE
Clinical Social WorkerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
-NJ
Nurse PractitionerNJ
-NJ

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1932133519 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
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 is Unknown Individual's primary listing?
We display Haddonfield, New Jersey because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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