Unknown Individual – Cardiovascular Disease Physician, NPI 1972530707

Unknown Individual is a healthcare provider. based in So orange, New Jersey. specializing in Cardiovascular Disease Physician. They hold a License No. 29244 (NJ). The NPI Number for Unknown Individual is 1972530707

Main info

Organization
Inactive
53 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1972530707
Phone
Not provided
Address
PO BOX 527
Deactivation Date
19 April 2023

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1973 (53 years ago)
PAC ID
0042243875
Professional Enrollment ID
I20050913000722
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

  • PO BOX 527

    SO ORANGE, NJ 07079

    Phone:

    Type: Mailing

  • 306, Dr. Martin Luther King Jr. Boulevard, Teachers Village, Newark, Essex County, New Jersey, 07102, United States

    NEWARK, NJ 071022011

    Phone: (973) 624-0805

    Fax: (973) 824-2844

    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.

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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 07079)

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Provider's Procedures

Unknown Individual performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)NJ78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies134132
CARDIOVASCULAR DISEASE (CARDIOLOGY)NJ93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report492314

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1972530707.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on So Orange, New Jersey.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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