Unknown Individual – Chiropractor, NPI 1972618288

Unknown Individual is a healthcare provider. based in Jersey city, New Jersey. specializing in Chiropractor. They hold a License No. 38MC00125500 (NJ). The NPI Number for Unknown Individual is 1972618288

Main info

Organization
Inactive
58 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1972618288
Phone
(201) 659-5050
Address
943 SUMMIT AVE
Deactivation Date
18 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2016595050
Graduation Year
1968 (58 years ago)
PAC ID
9234326810
Professional Enrollment ID
I20101208000725
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

  • 943, Summit Avenue, The Heights, Croxton, Journal Square, Jersey City, Hudson County, New Jersey, 07307, United States

    JERSEY CITY, NJ 073073745

    Phone: (201) 659-5050

    Fax: (973) 812-6212

    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 07307)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1972618288; it appears in the national provider directory.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Chiropractor. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in New Jersey?
You will see Jersey City, New Jersey on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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Unknown Individual

Chiropractor
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NPI: 1679598668
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NPI: 1235140351